go back

Arizona 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
Professional
Modifier
Low / Median / High Price
$11.35 / $14.40 / $29.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $60.69 / $109.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $56.00 / $76.30
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 / $40.11 / $54.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $15.04 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $19.48 / $36.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $19.48 / $36.56