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Indiana rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $575.44 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $316.23 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $645.65 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $380.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $363.08 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $398.11