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Virginia rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $54.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.85 / $20.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $11.48 / $23.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.02 / $15.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.79 / $66.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.79 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $18.20