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Indiana rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.95 / $57.95 / $57.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.72 / $60.21 / $68.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.91 / $157.91 / $304.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.33 / $157.91 / $212.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $134.58 / $409.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $175.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $71.68 / $122.79