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Indiana rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,755.42 / $2,755.42 / $5,789.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.03 / $2,810.52 / $2,899.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,573.95 / $5,181.88 / $5,789.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.72 / $3,171.15 / $4,376.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,342.35 / $6,368.79 / $8,105.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,921.34 / $6,368.79 / $7,816.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $5,789.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $5,939.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $2,888.47 / $4,008.86