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Indiana rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.93 / $450.93 / $947.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.25 / $459.95 / $486.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.64 / $710.64 / $710.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.54 / $848.03 / $947.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.71 / $532.32 / $727.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.64 / $1,042.27 / $1,326.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.39 / $1,042.27 / $1,279.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $947.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $612.94 / $971.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $655.05 / $657.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $472.70 / $669.66