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California rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $11.00 / $16.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.96 / $57.76 / $152.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $113.42 / $166.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $44.46 / $44.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.28 / $10.00 / $22.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $15.62 / $15.62