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Indiana rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.42 / $54.42 / $54.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $56.54 / $64.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.43 / $504.43 / $973.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.18 / $504.43 / $665.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.01 / $230.20 / $356.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.10 / $131.43 / $345.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $225.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $67.54 / $115.58