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Virginia rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.81 / $352.81 / $356.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.82 / $352.81 / $400.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.95 / $668.95 / $710.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $379.58 / $474.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.00 / $359.00 / $457.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.60 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $447.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.27 / $602.05 / $802.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $411.44 / $761.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $878.67 / $1,114.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.25 / $504.87 / $798.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.25 / $504.87 / $798.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.54 / $333.74 / $491.70