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Indiana rates for HCPCS L5210

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Foot Blocks No Ankle Joints Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.19 / $1,658.19 / $3,484.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.52 / $1,658.19 / $1,724.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.57 / $3,118.41 / $3,484.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.63 / $1,760.19 / $2,421.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.61 / $3,658.47 / $4,877.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.62 / $3,832.69 / $4,703.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $3,484.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,819.89 / $3,439.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,738.26 / $2,304.46