go back

Indiana rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $26.86 / $51.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $26.86 / $36.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $35.46