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Washington rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Facilitymedian $76 · 10th–90th $51–$1700%20%10th90th$76Professionalmedian $51 · 10th–90th $33–$1120%10%10th90th$51$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
$51.29 / $51.29 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $67.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $74.13 / $74.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $43.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $97.72 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $91.20 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $75.86 / $77.62
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $77.62
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $83.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $151.36
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $37.15 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $66.07 / $117.49