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Indiana rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.69 / $77.69 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $77.98 / $84.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.01 / $140.49 / $156.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $84.59 / $116.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.38 / $172.67 / $235.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.41 / $172.67 / $211.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $156.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $161.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $75.04 / $105.41