go back

Indiana rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.88 / $78.88 / $159.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $80.36 / $85.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.90 / $142.63 / $159.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.75 / $86.70 / $117.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.17 / $175.31 / $239.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.46 / $175.31 / $215.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $159.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $163.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $76.19 / $107.79