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Indiana rates for HCPCS L2040

Hip Knee Ankle Foot Orthosis Torsion Control Bilateral Rotation Straps Pelvic Band/Belt Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.65 / $120.65 / $243.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.66 / $120.65 / $130.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.56 / $218.16 / $243.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.12 / $119.68 / $165.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.88 / $257.18 / $341.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.19 / $268.13 / $329.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $243.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $142.94 / $216.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $116.17 / $162.85