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California rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $18.20 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $25.12 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.92 / $27.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $45.71 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $112.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $17.38 / $28.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $8.71 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.71 / $18.62