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Louisiana rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $9.43 / $11.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.76 / $11.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $9.69 / $10.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.19 / $13.62