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Virginia rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.19 / $182.65 / $182.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.19 / $182.65 / $396.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $369.41 / $392.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $221.34 / $272.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.08 / $194.08 / $252.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.50 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $332.47 / $443.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $224.23 / $420.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $461.76 / $615.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.19 / $277.61 / $462.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.19 / $277.61 / $462.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $184.30 / $277.61