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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
$354.69 / $354.69 / $745.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.47 / $361.78 / $368.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.78 / $667.03 / $745.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.39 / $401.80 / $546.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.97 / $819.82 / $1,043.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.50 / $819.82 / $1,006.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $745.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $652.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $371.81 / $526.74