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North Carolina rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.33 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $12.88 / $21.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.13 / $12.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $112.20