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Virginia rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.30 / $51.49 / $64.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $22.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $7.12 / $8.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $15.13 / $22.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $74.52 / $74.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00