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Virginia rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $29.59 / $29.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $29.59 / $32.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $59.84 / $63.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $42.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $40.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $53.86 / $71.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $35.40 / $67.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $74.80 / $99.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.16 / $45.17 / $76.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $45.17 / $76.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $29.86 / $44.86