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Washington rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $12.88 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $14.13
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 / $23.44
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $28.18 / $41.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.18 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $26.30 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.30 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.95 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $14.79