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Virginia rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.73 / $93.91 / $93.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $93.91 / $104.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.93 / $189.93 / $201.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $113.80 / $142.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.03 / $106.03 / $129.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $95.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $170.94 / $227.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $116.81 / $213.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $249.48 / $316.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.68 / $142.72 / $237.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.68 / $142.72 / $237.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.64 / $94.75 / $142.72