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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
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $707.95 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $794.33 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $467.74 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $346.74 / $467.74