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Indiana rates for HCPCS L2850

Addition to lower extremity orthosis, femoral length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $37.15 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $74.13 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $41.69 / $74.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $87.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $48.98 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $52.48