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Indiana rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.61 / $65.61 / $137.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.61 / $67.06 / $70.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.91 / $123.38 / $137.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.26 / $80.98 / $111.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.40 / $151.65 / $203.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $151.65 / $186.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $137.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $134.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $68.78 / $93.18