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Texas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $7.26 / $7.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $7.40 / $12.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $14.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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 / $20.91 / $28.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $97.39 / $113.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $12.23 / $22.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $6.58 / $12.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.15 / $23.23 / $25.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $12.23 / $25.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $8.59 / $15.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62