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Washington rates for HCPCS L3590

Orthopedic shoe addition, convert firm shoe counter to soft counter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $96.23 / $100.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.43 / $42.39 / $100.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $130.66 / $299.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.97 / $54.02 / $324.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $38.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $38.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $62.81 / $164.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $63.49 / $122.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $62.81 / $62.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $61.34 / $65.06
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.53 / $62.81 / $65.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $70.54 / $122.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $52.14 / $61.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.79 / $61.34 / $61.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.90 / $53.39 / $69.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $29.85 / $54.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.77 / $29.77 / $53.39