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Indiana rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $758.58 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $724.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $501.19