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Indiana rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $10.24 / $20.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $10.26 / $11.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $18.51 / $20.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.78 / $16.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $22.75 / $31.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $22.75 / $27.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $20.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $21.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $10.22 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.97 / $13.97