go back

Indiana rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.95 / $218.95 / $442.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.94 / $227.37 / $265.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $309.66 / $309.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.47 / $395.92 / $442.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.80 / $262.63 / $362.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.78 / $486.61 / $663.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.01 / $486.61 / $597.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $442.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $453.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $220.69 / $325.89