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Virginia rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.50 / $38.04 / $38.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $38.04 / $47.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.95 / $76.95 / $81.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $45.68 / $60.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $52.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $69.26 / $92.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $47.33 / $86.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $96.19 / $128.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $58.25 / $98.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $58.25 / $98.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $38.39 / $57.83