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Alabama rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.49 / $28.49 / $28.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $28.49 / $28.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $122.00 / $122.00
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 / $54.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $18.60 / $34.04