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Indiana rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Facilitymedian $4,467 · 10th–90th $2,089–$5,4950%50%10th90th$4,467Professionalmedian $2,188 · 10th–90th $1,950–$3,6310%50%10th90th$2,188$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,089.30 / $2,089.30 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,137.96 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,466.84 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $4,265.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,754.40 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,019.95 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,187.76 / $3,162.28