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Indiana rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.10 / $419.10 / $880.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.48 / $427.48 / $439.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.69 / $788.15 / $880.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.19 / $482.76 / $660.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.47 / $968.68 / $1,232.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.53 / $968.68 / $1,188.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $880.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $771.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $439.33 / $598.14