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Indiana rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.08 / $1,177.08 / $2,473.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.21 / $1,200.63 / $1,224.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.95 / $2,213.65 / $2,473.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.58 / $1,317.91 / $1,806.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.53 / $2,715.49 / $3,462.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.35 / $2,720.69 / $3,339.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $2,473.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $2,537.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,233.93 / $1,670.08