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Indiana rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $72.78 / $147.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $72.78 / $78.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $110.30 / $147.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.18 / $131.62 / $147.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $76.87 / $106.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.30 / $161.77 / $205.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $161.77 / $198.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $147.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $150.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $70.09 / $98.27