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Rhode Island rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.15 / $12.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $101.57 / $117.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $52.00 / $52.00
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 / $28.65 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $10.11 / $15.14