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Virginia rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.97 / $72.28 / $72.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.97 / $72.28 / $72.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.43 / $504.43 / $620.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $101.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.03 / $118.69 / $159.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $83.12 / $155.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $156.00 / $266.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $119.32 / $185.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.31 / $119.32 / $185.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.58 / $82.31 / $145.36