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Indiana rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

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 / $29.15 / $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
$26.66 / $30.80 / $42.50
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
$31.65 / $31.65 / $56.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $58.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.11 / $29.25 / $40.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $27.11 / $38.34