go back

West Virginia 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
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $50.12 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $138.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $54.95 / $83.18