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Virginia rates for HCPCS L3520

Orthopedic Shoe Addition Insole Felt Covered With Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $18.47 / $18.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $18.47 / $20.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $39.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.84 / $20.84 / $26.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $22.72 / $25.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $33.61 / $44.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $22.97 / $42.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $46.70 / $62.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $29.23 / $47.72
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.55 / $29.23 / $47.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $18.64 / $28.07