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Washington, DC rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $10.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $30.20 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.47 / $15.85