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Kansas rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.62 / $84.62 / $84.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $55.44 / $84.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.40 / $82.26 / $87.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.65 / $81.65 / $81.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $148.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $82.35 / $478.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $50.98 / $130.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $49.28 / $68.27