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Indiana rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.52 / $82.52 / $166.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $82.52 / $89.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.72 / $149.22 / $166.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $82.80 / $114.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.92 / $175.07 / $233.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.72 / $183.40 / $225.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $166.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $171.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $78.69 / $110.26