go back

Virginia rates for HCPCS L3170

Foot Plastic Silicone Or Equal Heel Stabilizer Prefabricated Off-The-Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $29.59 / $29.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $29.59 / $35.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $59.84 / $63.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $42.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $33.42 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $36.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $53.86 / $71.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $34.61 / $67.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $74.80 / $99.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.93 / $45.17 / $76.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $45.17 / $76.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $29.86 / $45.99