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Indiana rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.33 / $187.33 / $378.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.33 / $203.06 / $701.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $283.87 / $283.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.01 / $338.75 / $378.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.78 / $221.34 / $298.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.47 / $416.34 / $567.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.49 / $454.19 / $532.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $378.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $211.27 / $388.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $180.94 / $254.14