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Heel, Thomas with Wedge

Virginia rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$38.02

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$33.88 to $45.71
FacilityA hospital or hospital-owned outpatient department$70.79$45.71 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $32 to $87Professionalmedian $37 · 10th to 90th $28 to $66
$20$100$500$2K$10Kfacility $71professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$38.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$79.43
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$79.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$87.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$204.17
Sentara
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$57.54
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$54.95

Where Virginia sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 32nd of 51

$38.02

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.