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Indiana rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.36 / $140.36 / $283.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.37 / $140.36 / $152.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.03 / $253.80 / $283.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $127.73 / $176.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.33 / $297.76 / $397.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.04 / $311.94 / $382.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $283.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $248.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $133.16 / $181.14