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Indiana rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.38 / $187.38 / $378.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.38 / $194.59 / $203.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.08 / $338.84 / $378.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.70 / $221.70 / $302.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.94 / $416.45 / $567.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.80 / $416.45 / $511.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $378.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.57 / $388.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $188.88 / $278.91