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Indiana rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $758.58 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $457.09 / $758.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $562.34