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Washington rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Facilitymedian $44 · 10th–90th $21$580%20%10th90th$44Professionalmedian $20 · 10th–90th $11$500%10%20%10th90th$20$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $20.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $28.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $46.77 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $46.77 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $57.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $23.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $54.95