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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
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $407.38 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $302.00 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $295.12