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Kansas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.98 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
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 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $10.00 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.55 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.00 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $15.49