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Kentucky rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $18.20 / $53,703.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $15.85 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $25.12 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.55 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $12.59