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Nevada rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $28.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.77 / $15.85