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Indiana rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,195.56 / $3,195.56 / $6,714.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.87 / $3,259.47 / $3,373.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,304.57 / $6,009.61 / $6,714.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,364.07 / $3,688.79 / $5,090.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,035.99 / $7,386.12 / $9,521.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.45 / $7,386.12 / $9,064.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $6,714.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $6,887.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.50 / $3,349.87 / $4,805.82