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Indiana rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.24 / $59.24 / $119.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.97 / $61.52 / $64.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.56 / $107.13 / $119.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $69.41 / $95.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.32 / $131.66 / $179.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.75 / $131.66 / $161.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $119.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $122.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $57.22 / $85.55