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Washington rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.97 / $179.26 / $187.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $78.97 / $78.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.48 / $414.18 / $414.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $98.39 / $681.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $47.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.47 / $155.88 / $211.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $155.88 / $213.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.74 / $142.36 / $156.78
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.74 / $127.74 / $127.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.36 / $116.84 / $213.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $55.76 / $84.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $85.35 / $85.35