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Indiana rates for HCPCS L3020

Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.32 / $118.32 / $239.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.32 / $128.25 / $415.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.34 / $167.34 / $179.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.85 / $213.95 / $239.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.97 / $139.80 / $192.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.29 / $262.95 / $358.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.05 / $286.86 / $336.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $239.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $245.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $113.94 / $160.32