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California rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $340.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.96 / $64.95 / $106.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.33 / $179.29 / $375.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $64.14 / $112.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $139.86 / $249.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.86 / $156.77 / $365.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $93.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $72.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.31 / $74.77 / $129.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $82.71 / $183.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.38 / $563.71 / $563.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.50 / $609.50 / $886.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $249.46 / $249.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $104.44 / $121.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $112.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.00 / $223.00 / $223.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.31 / $94.52 / $94.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $58.45 / $161.47