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Indiana rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.38 / $52.38 / $105.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $54.40 / $58.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.61 / $94.73 / $105.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $64.12 / $86.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.51 / $116.42 / $158.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $116.42 / $142.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $105.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $108.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.34 / $169.34 / $169.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $52.80 / $77.30