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Washington, DC 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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $70.79
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 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $144.54 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $93.33