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Indiana rates for HCPCS L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.03 / $73.03 / $147.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $75.47 / $79.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.29 / $103.29 / $103.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.57 / $132.07 / $147.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $45.00 / $62.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.26 / $162.32 / $221.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.43 / $162.32 / $199.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.71 / $83.71 / $147.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $83.71 / $151.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.54 / $76.31 / $104.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $71.86 / $108.70