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Indiana rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.77 / $296.77 / $623.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.77 / $304.49 / $356.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.64 / $558.11 / $623.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.29 / $461.60 / $623.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $685.95 / $935.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.04 / $685.95 / $841.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $623.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.66 / $639.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $311.10 / $469.92