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Louisiana 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
$55.78 / $59.21 / $79.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $59.21 / $64.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.83 / $153.44 / $215.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.26 / $73.26 / $73.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $69.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $47.61 / $70.52