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Indiana rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.99 / $166.99 / $337.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.57 / $173.42 / $210.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.55 / $301.97 / $337.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.60 / $205.57 / $283.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.79 / $382.39 / $506.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.79 / $371.14 / $455.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $337.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $218.27 / $317.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $168.32 / $248.56