go back

Ohio rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $85.11 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $144.54 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $309.03 / $537.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $138.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $75.86 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $112.20