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Delaware rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $13.80
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 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $19.95