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Indiana rates for HCPCS L5688

Addition To Lower Extremity Below Knee Waist Belt Webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $73.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $36.04 / $40.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.30 / $66.05 / $73.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.99 / $44.58 / $60.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.35 / $81.18 / $109.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $81.18 / $99.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $73.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $75.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $36.82 / $56.36