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Indiana rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Facilitymedian $912 · 10th–90th $417–$9550%50%10th90th$912Professionalmedian $437 · 10th–90th $347–$7080%50%10th90th$437$1.0$5.0$20.0$100.0$500.0$2.0K

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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $912.01 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $467.74 / $851.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,000.00 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $630.96