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Indiana rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.01 / $920.01 / $1,933.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.11 / $920.01 / $956.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.20 / $1,730.18 / $1,933.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.62 / $880.36 / $1,214.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.03 / $2,029.82 / $2,706.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.19 / $2,126.48 / $2,609.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,933.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $1,861.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $964.43 / $1,291.68