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Indiana rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.83 / $285.83 / $577.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.83 / $296.82 / $313.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.23 / $516.86 / $577.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.72 / $340.43 / $469.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.88 / $635.25 / $866.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.88 / $635.25 / $779.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $577.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $592.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.83 / $325.33 / $442.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $285.54 / $419.63