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Indiana rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.85 / $496.85 / $1,003.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.74 / $515.96 / $558.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.04 / $898.45 / $1,003.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.71 / $604.41 / $815.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.89 / $1,104.24 / $1,505.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.27 / $1,104.24 / $1,355.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $1,003.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,029.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.14 / $567.91 / $794.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.87 / $500.81 / $739.53