go back

Indiana rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,479.04 / $3,479.04 / $7,310.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.10 / $3,479.04 / $3,618.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,775.15 / $6,542.74 / $7,310.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,662.49 / $3,670.43 / $5,065.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,229.55 / $7,690.51 / $10,234.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,213.77 / $8,041.35 / $9,868.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $7,310.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $7,498.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,777.96 / $9,777.96 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,647.03 / $4,884.54