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Indiana rates for HCPCS L5826

Addition Endoskeletal Knee-Shin System Single Axis Hydraulic Swing Phase Control With Miniature High Activity Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.18 / $1,794.18 / $3,770.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.18 / $1,830.06 / $1,884.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.32 / $3,374.17 / $3,770.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.80 / $2,060.88 / $2,844.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,842.81 / $4,147.02 / $5,655.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,204.52 / $4,147.02 / $5,089.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $3,770.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $3,867.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.15 / $1,880.82 / $2,605.35