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Indiana rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $80.16 / $161.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.72 / $80.16 / $86.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.96 / $144.96 / $161.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $79.14 / $109.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.78 / $170.07 / $226.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.66 / $178.17 / $218.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $161.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $148.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $75.06 / $77.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.13 / $76.06 / $107.10