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Indiana rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Facilitymedian $3,311 · 10th–90th $1,549–$4,1690%20%40%10th90th$3,311Professionalmedian $1,585 · 10th–90th $1,380–$2,6920%20%10th90th$1,585$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1,548.82 / $1,548.82 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,584.89 / $2,454.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,311.31 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,995.26 / $3,311.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,265.80 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,137.96 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,621.81 / $2,290.87