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Indiana rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.45 / $193.45 / $406.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.71 / $197.32 / $203.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.13 / $363.81 / $406.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.30 / $220.24 / $303.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.87 / $447.14 / $569.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.52 / $447.14 / $548.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $406.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $416.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $202.79 / $280.68