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Indiana rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.70 / $271.70 / $570.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.19 / $271.92 / $282.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.03 / $510.98 / $570.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.05 / $296.30 / $408.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.66 / $614.20 / $799.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.29 / $628.02 / $770.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $570.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $305.54 / $499.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $284.83 / $381.50