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Indiana rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.69 / $559.69 / $1,176.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.99 / $559.69 / $582.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.23 / $823.23 / $882.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.07 / $1,052.56 / $1,176.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.17 / $582.85 / $804.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.01 / $1,234.83 / $1,646.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.63 / $1,293.64 / $1,587.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $1,176.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $1,053.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $586.72 / $785.80