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Arkansas 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
$19.48 / $19.48 / $19.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $19.48 / $20.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $56.25 / $62.50
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 / $16.73 / $29.86