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Ohio 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
$26.34 / $26.34 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.06 / $26.34 / $30.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.05 / $53.94 / $139.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $26.70 / $69.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $49.04 / $66.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.06 / $44.39 / $105.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $57.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $27.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $23.08 / $32.93