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Indiana rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.32 / $428.32 / $899.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.14 / $436.88 / $479.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.99 / $674.99 / $674.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.99 / $805.49 / $899.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.91 / $520.50 / $710.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.99 / $989.99 / $1,294.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.99 / $989.99 / $1,214.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $899.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $923.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $449.00 / $648.70