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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
$36.07 / $36.07 / $72.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.69 / $36.07 / $39.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.58 / $65.23 / $72.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $41.79 / $57.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.66 / $80.17 / $104.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.95 / $80.17 / $98.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $43.58 / $72.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $43.58 / $74.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $36.04 / $52.37