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Indiana rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.84 / $12.84 / $12.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.34 / $15.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.11 / $39.11 / $75.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $39.11 / $51.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $36.33 / $56.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $38.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $15.93 / $27.15