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Indiana rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.21 / $495.21 / $1,040.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.97 / $495.21 / $515.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.03 / $931.29 / $1,040.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.32 / $534.42 / $737.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.56 / $1,093.48 / $1,456.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.47 / $1,144.60 / $1,404.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $673.11 / $1,040.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.37 / $673.11 / $1,067.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.94 / $519.12 / $695.26