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Texas rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $14.45 / $22.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $43.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $14.79 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.51 / $15.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92