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Kansas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $7.36 / $10.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $16.93 / $17.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $22.97 / $28.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $10.70 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.00 / $22.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.32 / $12.94