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Indiana rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.90 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $63.10 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $77.62 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $41.69 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $29.51 / $41.69