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Indiana rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.01 / $44.01 / $88.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $44.01 / $47.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.25 / $79.58 / $88.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.39 / $45.68 / $63.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $95.26 / $124.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.58 / $97.81 / $120.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $88.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $91.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $41.76 / $58.81