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Indiana rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.68 / $232.68 / $470.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.39 / $232.68 / $252.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.39 / $420.76 / $470.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.46 / $222.79 / $307.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.59 / $517.13 / $704.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $517.13 / $634.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $470.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $482.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.04 / $211.05 / $295.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $220.77 / $300.31