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Other Orthopedic Shoe Modification, Addition or Transfer

Illinois rates for HCPCS L3649

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $9$1910%20%10th90th$10Professionalmedian $11 · 10th–90th $10$460%50%10th90th$11$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$22.39
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49