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Indiana rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $17.44 / $35.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $17.51 / $18.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.83 / $31.53 / $35.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $19.17 / $26.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.60 / $38.75 / $52.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $38.75 / $47.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $35.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $36.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $18.18 / $24.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $17.02 / $23.66