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Indiana rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $38.90 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $47.86 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $18.62 / $26.30