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Indiana rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.17 / $1,153.17 / $2,329.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.82 / $1,157.42 / $1,251.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.63 / $2,085.27 / $2,329.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.59 / $1,250.07 / $1,725.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.91 / $2,562.90 / $3,494.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.42 / $2,562.90 / $3,145.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,329.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,390.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,124.90 / $1,564.50