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Indiana rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.96 / $29.96 / $60.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $29.96 / $32.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $60.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.83 / $54.18 / $60.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $32.25 / $44.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $66.59 / $84.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $66.59 / $81.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $60.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $39.15 / $58.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $28.94 / $40.54