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Virginia rates for HCPCS L3510

Orthopedic Shoe Addition Insole Rubber (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $17.00 / $17.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.00 / $18.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $36.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $18.43 / $24.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $20.93 / $23.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $24.27 / $24.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $17.72 / $24.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $30.96 / $41.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $20.13 / $38.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $43.00 / $57.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.91 / $25.95 / $43.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $25.95 / $43.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $17.16 / $25.78