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North Carolina rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.85 / $12.85 / $12.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.85 / $13.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.99 / $9.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $45.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $28.65 / $36.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $12.85 / $23.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $13.65 / $13.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $8.26 / $13.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.39 / $113.18 / $113.18