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Indiana rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $65.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $32.64 / $35.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.09 / $59.02 / $65.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $30.13 / $41.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.86 / $69.23 / $92.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.05 / $72.53 / $89.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $65.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $30.91 / $64.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $30.42 / $43.61