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Indiana rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.67 / $17.67 / $35.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.35 / $21.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.20 / $31.95 / $35.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $21.57 / $29.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.35 / $40.46 / $53.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $39.27 / $48.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $23.10 / $35.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.10 / $36.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $17.80 / $26.31