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Indiana rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.69 / $154.69 / $325.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.68 / $154.69 / $160.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.77 / $290.91 / $325.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.56 / $175.88 / $242.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $357.54 / $455.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.27 / $357.54 / $438.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $325.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $332.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $162.16 / $210.87