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Indiana rates for HCPCS L5728

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.77 / $1,384.77 / $2,909.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.77 / $1,420.77 / $1,588.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.69 / $2,604.21 / $2,909.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.79 / $1,715.30 / $2,367.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.31 / $3,200.71 / $4,283.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.28 / $3,200.71 / $3,928.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $2,984.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,451.63 / $2,161.78