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Indiana rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.87 / $50.87 / $102.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.91 / $52.82 / $55.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.19 / $91.98 / $102.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $59.92 / $82.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.35 / $113.05 / $154.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.35 / $113.05 / $138.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $102.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.48 / $92.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $51.27 / $73.86