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Indiana rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.91 / $59.91 / $121.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $60.14 / $65.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.64 / $108.35 / $121.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $64.14 / $88.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.27 / $133.16 / $181.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.90 / $133.16 / $163.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $121.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $124.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $59.89 / $81.88