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Indiana rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.00 / $155.00 / $325.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $159.03 / $182.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.30 / $291.49 / $325.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.88 / $197.18 / $266.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.27 / $358.26 / $488.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.83 / $358.26 / $439.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $325.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $334.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $162.47 / $246.53