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Washington rates for HCPCS L3570

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

Facilitymedian $100 · 10th–90th $68$2240%10%10th90th$100Professionalmedian $68 · 10th–90th $44$1480%10%10th90th$68$1.0$5.0$20.0$100.0$500.0

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
$67.61 / $67.61 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $89.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $97.72 / $97.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $112.20
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $128.82 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $120.23 / $213.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $100.00 / $102.33
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $100.00
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $109.65
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $147.91 / $199.53
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $97.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $70.79 / $154.88