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Indiana rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $14.03 / $28.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.06 / $15.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.36 / $28.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $15.39 / $21.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $31.17 / $42.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.09 / $31.17 / $38.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $28.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $29.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $13.55 / $19.00