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Louisiana rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.47
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $13.49