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Indiana rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.53 / $2,052.53 / $4,312.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.53 / $2,105.90 / $2,368.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,234.65 / $3,234.65 / $3,234.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,407.17 / $3,860.02 / $4,312.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.34 / $2,859.80 / $3,946.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,589.22 / $4,744.16 / $6,469.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,665.94 / $4,744.16 / $5,822.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $4,312.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $4,339.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,965.23 / $3,121.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.02 / $2,151.64 / $3,032.69