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Indiana rates for HCPCS L5812

Addition Endoskeletal Knee-Shin System Single Axis Friction Swing And Stance Phase Control (Safety Knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.35 / $339.35 / $713.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.82 / $346.13 / $377.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.30 / $638.17 / $713.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.23 / $411.21 / $561.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.79 / $784.36 / $1,017.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.09 / $784.36 / $962.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $713.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $731.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.66 / $355.73 / $513.58