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Indiana rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Facilitymedian $977 · 10th–90th $457–$1,2020%20%40%10th90th$977Professionalmedian $513 · 10th–90th $437–$8510%20%40%10th90th$513$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $467.74 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $977.24 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $575.44 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,230.27 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $741.31