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Other Orthopedic Shoe Modification, Addition or Transfer

Washington rates for HCPCS L3649

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

Rates data updated July 2026.

Facilitymedian $1,096 · 10th–90th $1,096$1,0960%50%100%$1,096Professionalmedian $11 · 10th–90th $10$160%50%10th90th$11$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48