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Indiana rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.97 / $478.97 / $967.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.24 / $478.97 / $519.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.50 / $866.11 / $967.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.76 / $460.49 / $635.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.98 / $1,033.80 / $1,354.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.56 / $1,064.49 / $1,306.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $967.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $931.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.46 / $446.38 / $620.64