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Indiana rates for HCPCS A5102

Expired, Orthopedic,Los>/=14

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $27.01 / $31.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $19.86 / $27.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $16.45 / $31.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $16.45 / $22.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $34.42 / $47.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $34.68 / $42.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $18.95 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $15.08 / $22.58