Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
O shoe add instep extension
Cedar Rapids, IA
See all hospitals reporting HCPCS L3570 →Price type
St Luke's Methodist Hospital’s median price of $107 is about the same as the median hospital's median price ($107), higher than 48% of the 822 hospitals reporting HCPCS L3570. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 2 | UnitedHealthcare ppo fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Wellmark commercial fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 4 | Wellmark hmo fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Wellmark ppo fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 6 | Aetna medicare advantage case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 7 | Molina medicare advantage case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Wellmark medicare advantage case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Humana medicare advantage case rate · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 11 | Aetna hmo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Aetna ppo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 13 | Cigna commercial fee schedule · both | $130 | $130 | — | — | — | $130 – $130 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 16 | Aetna hmo fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 17 | Aetna ppo fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
Last updated: Jan 28, 2026
See Leather orthopedic shoe instep extension pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.