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Indiana rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $30.33 / $61.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $30.46 / $32.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $54.85 / $61.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $32.36 / $44.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.23 / $67.42 / $91.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $67.42 / $82.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $61.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $62.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $29.86 / $43.34