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Indiana rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.65 / $1,181.65 / $2,482.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.39 / $1,181.65 / $1,228.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.52 / $2,222.23 / $2,482.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.97 / $1,275.56 / $1,760.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.72 / $2,609.88 / $3,476.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.50 / $2,731.23 / $3,351.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,482.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $2,547.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.42 / $1,238.71 / $1,659.04