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Rhode Island rates for HCPCS L3253

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $25.30 / $29.18
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
$16.85 / $23.89 / $34.07