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Indiana rates for HCPCS L2250

Addition To Lower Extremity Foot Plate Molded To Patient Model Stirrup Attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.19 / $199.19 / $402.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $206.85 / $222.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.94 / $360.19 / $402.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.33 / $242.52 / $332.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.83 / $442.70 / $600.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.08 / $442.70 / $543.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $402.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $412.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $199.71 / $296.48