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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
$41.69 / $41.69 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $38.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $85.11 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $74.13 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $61.66 / $64.57
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $64.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $91.20 / $134.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $63.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.90 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $95.50