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Virginia rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.86 / $76.97 / $76.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.86 / $76.97 / $76.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $157.91 / $194.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $126.39 / $170.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $86.98 / $165.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $205.00 / $283.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.71 / $127.06 / $197.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.71 / $127.06 / $197.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $89.45 / $154.62