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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
$529.53 / $529.53 / $1,112.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.53 / $541.16 / $608.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.01 / $995.84 / $1,112.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.47 / $667.98 / $909.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.50 / $1,223.94 / $1,640.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.77 / $1,223.94 / $1,502.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $1,112.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $719.79 / $1,141.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.65 / $555.10 / $821.87