go back

Pennsylvania rates for HCPCS L3253

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $15.85 / $61.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $16.09 / $20.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $34.67 / $34.67
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $61.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $15.85 / $18.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $34.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $20.75 / $37.24