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Indiana rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.48 / $2,240.48 / $4,707.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.26 / $2,262.23 / $2,330.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.16 / $4,213.47 / $4,707.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,358.64 / $2,516.48 / $3,472.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,530.85 / $5,178.58 / $6,590.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,001.63 / $5,178.58 / $6,355.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $4,707.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $4,829.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,348.67 / $3,145.64