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Indiana rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $60.05 / $121.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $62.36 / $66.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.85 / $108.59 / $121.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.20 / $72.28 / $99.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $133.46 / $180.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $133.46 / $163.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $121.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $75.09 / $124.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $59.95 / $89.39