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Indiana rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.25 / $87.25 / $176.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $90.60 / $100.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.25 / $157.76 / $176.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.99 / $107.19 / $147.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.21 / $193.90 / $264.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $193.90 / $237.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $176.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.15 / $180.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.62 / $87.94 / $126.16