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Indiana rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $46 · 10th–90th $22–$490%50%10th90th$46Professionalmedian $22 · 10th–90th $17–$330%50%10th90th$22$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $45.71 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $48.98 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.38 / $32.36