go back

Washington, DC rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $14.08 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $14.08 / $14.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $20.93 / $23.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $17.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $68.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $17.16 / $36.09