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Virginia rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.33 / $31.81 / $31.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $31.81 / $35.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.33 / $64.33 / $68.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.47 / $45.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $33.79 / $43.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $26.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $57.90 / $77.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $39.04 / $73.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $80.41 / $107.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $48.55 / $82.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $48.55 / $82.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $94.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $32.09 / $48.33