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Indiana rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $64.51 / $64.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.99 / $23.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.27 / $16.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $27.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $19.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $13.08 / $27.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $13.24 / $15.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $17.96 / $21.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $9.35 / $12.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $7.35 / $12.58