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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 / $8.52 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.52 / $12.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $32.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $14.01 / $18.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $9.81 / $18.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $13.65 / $31.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $14.15 / $23.43
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $14.15 / $23.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $9.77 / $17.27