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Indiana rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.82 / $198.82 / $401.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $206.46 / $223.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.33 / $359.51 / $401.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.96 / $235.22 / $324.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.27 / $441.86 / $602.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.44 / $441.86 / $542.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $401.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $251.00 / $412.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.60 / $200.40 / $287.50