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Indiana rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.41 / $315.41 / $662.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $315.41 / $328.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.57 / $593.16 / $662.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $323.52 / $446.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.86 / $695.89 / $927.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.34 / $729.03 / $894.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $662.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $679.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $330.64 / $464.23