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Virginia rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $23.67 / $23.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $23.67 / $26.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $34.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.15 / $25.15 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $43.08 / $57.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $27.69 / $53.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $59.84 / $79.75
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.35 / $36.11 / $61.17
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $36.11 / $61.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $23.89 / $35.97