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Virginia rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $19.19 / $19.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $19.19 / $19.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $67.64 / $83.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.03 / $31.51 / $42.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $21.68 / $40.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $42.00 / $70.75
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.12 / $31.82 / $51.49
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $31.82 / $51.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $22.43 / $38.65