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Virginia rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.82 / $61.39 / $61.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.82 / $61.39 / $68.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.16 / $124.16 / $131.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $66.53 / $88.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $65.23 / $84.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $51.82 / $70.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $111.74 / $148.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $71.83 / $138.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $155.19 / $206.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.61 / $93.69 / $155.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $93.69 / $155.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $61.94 / $93.06