go back

Alaska rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.19 / $30.19 / $30.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $54.94 / $58.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $29.93 / $42.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $42.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $54.94 / $58.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $41.76 / $108.93