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Indiana rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.77 / $1,027.77 / $2,076.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.24 / $1,046.49 / $1,126.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.47 / $1,858.50 / $2,076.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.00 / $1,136.98 / $1,564.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.41 / $2,284.19 / $2,907.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.06 / $2,284.19 / $2,803.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $2,076.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $2,130.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.90 / $992.72 / $1,412.84