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Indiana rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $28.07 / $56.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $28.59 / $30.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $50.76 / $56.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $30.58 / $42.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.76 / $62.38 / $85.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $62.38 / $76.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $56.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $58.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $27.11 / $38.08