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Florida rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $12.70 / $14.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $12.70 / $20.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.96 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.76 / $21.59 / $41.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $14.16 / $22.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $54.93 / $54.93