go back

Indiana rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.61 / $32.61 / $65.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $32.72 / $35.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $58.97 / $65.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $34.47 / $47.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.67 / $72.48 / $98.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $72.48 / $88.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $65.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $67.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.18 / $94.18 / $94.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $31.57 / $44.25