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Indiana rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $44.05 / $92.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $44.93 / $49.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.11 / $82.83 / $92.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.37 / $50.99 / $70.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.41 / $101.81 / $129.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.67 / $101.81 / $124.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $92.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $59.87 / $94.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $46.18 / $64.59