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Kansas 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
$24.07 / $24.07 / $24.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $16.55 / $24.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.99 / $139.65 / $148.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $138.61 / $138.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $42.66 / $54.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $24.07 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $20.25 / $50.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $19.48 / $35.47