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Virginia rates for HCPCS L3010

Foot insert, removable, molded to patient model, longitudinal arch support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.73 / $101.33 / $343.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $101.33 / $119.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.94 / $204.94 / $217.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.05 / $114.05 / $145.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $114.40 / $140.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $102.59 / $102.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.46 / $184.45 / $245.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $126.03 / $229.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $256.18 / $341.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.27 / $154.66 / $256.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.27 / $154.66 / $256.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.51 / $102.25 / $153.62