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Indiana rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.84 / $113.84 / $230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $113.84 / $123.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.70 / $205.85 / $230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.18 / $111.76 / $154.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.50 / $253.00 / $322.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.50 / $253.00 / $310.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $230.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.51 / $205.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $105.48 / $147.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $108.52 / $147.52