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Indiana rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.49 / $1,567.49 / $3,293.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.54 / $1,567.49 / $1,630.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,602.02 / $2,947.85 / $3,293.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.15 / $1,696.36 / $2,340.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.05 / $3,610.36 / $4,611.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.64 / $3,623.06 / $4,446.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $3,293.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $3,378.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.78 / $1,643.18 / $2,200.75