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Indiana rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $46.77 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $95.50 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $89.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $117.49 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $64.57 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $63.10 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $44.67 / $63.10