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Indiana rates for HCPCS L5724

Addition, exoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.54 / $992.54 / $2,085.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.67 / $1,012.39 / $1,041.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.59 / $1,866.58 / $2,085.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.88 / $1,106.79 / $1,527.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.91 / $2,264.58 / $2,919.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.73 / $2,294.12 / $2,815.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $2,085.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $2,139.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $1,040.46 / $1,393.52