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Indiana rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.40 / $24.40 / $24.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.46 / $25.35 / $28.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.79 / $49.79 / $96.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $49.79 / $67.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.33 / $130.81 / $130.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $49.68 / $65.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.20 / $51.70