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Indiana rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.62 / $270.62 / $546.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.88 / $270.62 / $293.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.94 / $489.35 / $546.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.73 / $289.64 / $399.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.86 / $595.38 / $765.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.75 / $601.44 / $738.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $546.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $297.62 / $523.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $260.62 / $365.33