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Indiana rates for HCPCS L1040

Addition To Ctlso Or Scoliosis Orthosis Lumbar Or Lumbar Rib Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.87 / $52.87 / $106.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.87 / $54.91 / $57.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.39 / $95.60 / $106.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $52.58 / $72.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.27 / $117.50 / $160.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $117.50 / $144.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $106.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $97.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.62 / $140.62 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $51.07 / $69.54