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Indiana rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $24.27 / $49.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $24.36 / $26.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.74 / $43.89 / $49.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $26.70 / $37.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.99 / $53.94 / $73.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $53.94 / $66.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $49.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $50.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $23.45 / $32.93