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Indiana rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.04 / $61.04 / $123.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.69 / $63.39 / $66.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.42 / $110.37 / $123.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $74.53 / $101.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.49 / $135.65 / $184.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.82 / $135.65 / $166.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $123.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $126.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $61.52 / $90.85