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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
$357.23 / $357.23 / $750.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.23 / $366.51 / $417.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.99 / $671.80 / $750.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.06 / $456.56 / $619.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.97 / $825.68 / $1,125.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.03 / $825.68 / $1,013.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $750.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $769.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.65 / $374.47 / $564.21