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Washington rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.21 / $52.69 / $55.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $23.21 / $55.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.12 / $85.00 / $164.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $29.93 / $177.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $23.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $35.09 / $90.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $35.18 / $66.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $33.59 / $35.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $34.40 / $35.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.12 / $38.63 / $67.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $28.55 / $33.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $33.59 / $33.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $29.24 / $37.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $15.57 / $20.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $15.73 / $29.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $29.24 / $29.24