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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$43.80 / $55.10 / $59.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.72 / $191.44 / $226.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $85.21 / $88.11
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
$37.78 / $50.01 / $83.35