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Indiana rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Facilitymedian $3,388 · 10th–90th $1,585–$3,6310%20%40%10th90th$3,388Professionalmedian $1,622 · 10th–90th $1,318–$2,5120%20%40%10th90th$1,622$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,584.89 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,388.44 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,698.24 / $3,019.95
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,715.35 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,089.30 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,659.59 / $2,344.23