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Indiana rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.54 / $320.54 / $647.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.63 / $320.54 / $347.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.63 / $579.63 / $647.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.92 / $308.60 / $425.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.15 / $680.01 / $906.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.49 / $712.39 / $874.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.30 / $324.30 / $647.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $664.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.62 / $302.08 / $432.71