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Indiana rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.07 / $247.07 / $519.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.97 / $247.58 / $256.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.14 / $464.65 / $519.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.11 / $270.76 / $373.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.64 / $565.65 / $726.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.29 / $571.08 / $700.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $519.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $532.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $259.00 / $346.89