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Virginia rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.65 / $27.36 / $27.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $27.36 / $32.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.34 / $55.34 / $58.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $30.80 / $39.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $30.89 / $37.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $31.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $49.81 / $66.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $34.03 / $62.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $69.18 / $92.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $41.76 / $70.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $41.76 / $70.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $25.04 / $29.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.61 / $41.48