go back

Ohio rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.92 / $32.92 / $111.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $32.92 / $37.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.55 / $67.42 / $174.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $32.36 / $80.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.97 / $61.29 / $82.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $55.48 / $131.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $72.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $46.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $36.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $26.23 / $34.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $29.60 / $41.17