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Indiana rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.07 / $33.07 / $69.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $33.72 / $37.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.89 / $62.18 / $69.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $39.13 / $52.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $76.43 / $97.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $76.43 / $93.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $69.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $71.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $34.65 / $47.14