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Indiana rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.17 / $2,425.17 / $5,095.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.48 / $2,425.17 / $2,522.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,025.77 / $4,560.84 / $5,095.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.85 / $3,043.56 / $4,108.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,821.93 / $5,605.50 / $7,134.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,331.52 / $5,605.50 / $6,879.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $5,095.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $5,169.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,542.29 / $3,534.50