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Indiana rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.61 / $186.61 / $377.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.68 / $189.44 / $202.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.86 / $337.45 / $377.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.93 / $216.46 / $295.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.77 / $414.74 / $533.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.48 / $414.74 / $509.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $377.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $386.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $180.25 / $267.14