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Indiana rates for HCPCS L2006

Knee Ankle Foot Device Any Material Single Or Double Upright Swing And/Or Stance Phase Microprocessor Control With Adjustability Includes All Components (E.G. Sensors Batteries Charger) Any Type Activation With Or Without Ankle Joint(S) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,185.30 / $19,185.33 / $38,762.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,447.43 / $19,923.23 / $21,030.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,622.48 / $34,692.55 / $38,762.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.59 / $1,905.59 / $4,036.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,071.97 / $42,638.89 / $57,909.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,948.24 / $42,638.89 / $52,329.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,762.62 / $38,762.62 / $38,762.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.38 / $31,019.05 / $42,492.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,249.48 / $20,365.15 / $31,467.51