go back

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
$337.38 / $337.38 / $708.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $346.15 / $377.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.04 / $634.47 / $708.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.17 / $433.10 / $584.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.67 / $779.80 / $1,063.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.57 / $779.80 / $957.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $708.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $727.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $353.67 / $532.87