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California rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $53.70 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $125.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $173.78 / $234.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $190.55 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $69.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $123.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $165.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $93.33 / $125.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $97.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $45.71 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $102.33