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Indiana rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.08 / $138.08 / $278.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.13 / $143.38 / $149.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.39 / $249.68 / $278.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $169.99 / $230.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.23 / $306.87 / $418.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.12 / $306.87 / $376.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $278.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $286.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $205.52