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Indiana rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $724.44 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $562.34 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $354.81 / $537.03