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Indiana rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.19 / $2,700.19 / $5,673.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.04 / $2,700.19 / $2,808.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,482.28 / $5,078.02 / $5,673.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.44 / $2,800.76 / $3,865.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.77 / $5,957.46 / $7,943.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,822.70 / $6,241.15 / $7,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $5,673.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $5,751.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $2,830.58 / $3,974.22