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Texas rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Facilitymedian $78 · 10th–90th $35$1860%10%10th90th$78Professionalmedian $50 · 10th–90th $43$720%20%40%10th90th$50$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $67.61
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $758.58 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $79.43 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $52.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $77.62 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $66.07 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $104.71