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Indiana rates for HCPCS L5580

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.62 / $1,615.62 / $3,394.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.34 / $1,615.62 / $1,680.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.90 / $3,038.35 / $3,394.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.50 / $1,806.78 / $2,493.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,406.62 / $3,564.55 / $4,752.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,885.59 / $3,734.29 / $4,582.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.18 / $1,769.18 / $3,394.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.50 / $1,769.18 / $3,442.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.68 / $1,678.52 / $2,268.29