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Indiana rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $30.33 / $61.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $31.50 / $32.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $54.85 / $61.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $33.31 / $45.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.23 / $67.42 / $91.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $67.42 / $82.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $61.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $62.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $29.30 / $41.46