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Indiana rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $15.01 / $17.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $67.64 / $130.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $67.64 / $89.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.84 / $86.51 / $194.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $43.67 / $58.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $17.87 / $30.61