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Indiana rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.87 / $147.87 / $310.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.87 / $150.82 / $165.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.45 / $278.08 / $310.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $186.03 / $254.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.03 / $341.77 / $458.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.10 / $341.77 / $419.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $310.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $318.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $155.00 / $229.88