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Indiana rates for HCPCS L5678

Additions To Lower Extremi, Below Knee, Joint Covers, Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $22.68 / $47.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $23.27 / $26.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $42.66 / $47.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $28.86 / $39.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $52.43 / $71.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.51 / $52.43 / $64.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $47.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.78 / $48.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.77 / $36.07