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Indiana rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$219

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $468 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$209 to $245
FacilityA hospital or hospital-owned outpatient department$468$240 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $209 to $501Professionalmedian $219 · 10th to 90th $170 to $309
$200$500$1Kfacility $468professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$467.74
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$331.13

Where Indiana sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 31st of 51

$219

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.