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Ohio 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
$55.15 / $55.15 / $155.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.28 / $55.15 / $63.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.43 / $112.96 / $292.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $55.85 / $133.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.02 / $102.69 / $138.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.12 / $92.93 / $219.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $121.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $69.65
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $69.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.32 / $76.07 / $99.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $48.96 / $66.68