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Indiana rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $589 · 10th–90th $288–$7410%20%40%10th90th$589Professionalmedian $309 · 10th–90th $275–$5130%20%40%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

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
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $426.58