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Indiana rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.82 / $50.82 / $102.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.87 / $51.02 / $55.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.13 / $91.91 / $102.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $55.89 / $75.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.45 / $112.96 / $154.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.29 / $112.96 / $138.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $102.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $105.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $49.10 / $69.44