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Indiana rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.27 / $329.27 / $691.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.58 / $335.85 / $354.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.90 / $518.90 / $518.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.58 / $619.22 / $691.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.51 / $379.58 / $523.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.90 / $761.06 / $968.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.09 / $761.06 / $934.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $691.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $709.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $345.16 / $479.83