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Indiana rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.21 / $3,006.21 / $6,316.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.21 / $3,066.33 / $3,126.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,990.26 / $5,653.52 / $6,316.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,164.74 / $3,643.96 / $5,028.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,737.59 / $6,948.46 / $9,146.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,369.26 / $6,948.46 / $8,527.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $6,316.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $6,479.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.56 / $3,151.38 / $4,291.35