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Indiana rates for HCPCS L2580

Addition to lower extremity, pelvic control, pelvic sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.79 / $258.79 / $522.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.79 / $268.74 / $299.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.06 / $467.96 / $522.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.94 / $319.93 / $441.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.43 / $576.50 / $784.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.43 / $575.15 / $705.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.35 / $373.35 / $522.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.55 / $373.35 / $536.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.90 / $260.85 / $385.19