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Indiana rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.57 / $388.57 / $816.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $388.57 / $404.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.02 / $730.75 / $816.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.04 / $424.79 / $586.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.76 / $873.18 / $1,143.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.01 / $898.13 / $1,102.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $816.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $837.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $407.33 / $545.52