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Indiana rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $37.56 / $37.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $39.03 / $44.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.91 / $70.91 / $136.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $70.91 / $97.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.93 / $76.59 / $104.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.32 / $77.12 / $100.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $93.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $46.82 / $79.65