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Indiana rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $38.68 / $78.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $38.82 / $41.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.73 / $69.94 / $78.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $42.60 / $57.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $85.95 / $117.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $85.95 / $105.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $43.62 / $78.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $43.62 / $80.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.22 / $37.72 / $52.48