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Indiana rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $724.44 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $831.76 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $812.83