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Indiana rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.07 / $844.07 / $1,773.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.34 / $860.95 / $906.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.14 / $1,587.36 / $1,773.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.59 / $979.06 / $1,351.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.19 / $1,950.95 / $2,483.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.55 / $1,950.95 / $2,394.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,773.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $1,819.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $884.83 / $1,253.19