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Indiana rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $144.54 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $69.18 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $144.54 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $79.43 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $95.50