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Indiana rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.64 / $370.64 / $778.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.94 / $370.64 / $385.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $697.03 / $778.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.82 / $356.85 / $492.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.40 / $817.75 / $1,090.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.99 / $856.69 / $1,051.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $778.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $798.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $388.54 / $501.90