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Pennsylvania rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $16.84 / $16.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.15 / $12.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.46 / $46.80
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $16.84 / $27.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.15 / $12.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $9.35 / $16.42