go back

Indiana rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $229.09 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $446.68 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $331.13 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $323.59