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Indiana rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $67.61 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $141.25 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $81.28 / $141.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $169.82 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $93.33 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $93.33