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Indiana rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,579.12 / $3,579.12 / $7,520.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,068.60 / $3,579.12 / $3,722.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,941.27 / $6,730.94 / $7,520.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,707.50 / $3,772.23 / $5,205.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,269.91 / $7,896.63 / $10,528.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,392.51 / $8,272.66 / $10,152.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $7,520.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $7,714.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $3,751.95 / $5,025.07