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Indiana rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.18 / $374.18 / $786.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.51 / $381.66 / $406.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.13 / $703.68 / $786.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.54 / $444.16 / $612.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.67 / $864.86 / $1,100.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.30 / $864.86 / $1,061.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $806.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.93 / $392.24 / $577.91