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Indiana rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $316 · 10th–90th $148–$3800%20%40%10th90th$316Professionalmedian $162 · 10th–90th $138–$2690%20%40%10th90th$162$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $186.21 / $316.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $234.42