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Indiana rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.08 / $303.08 / $636.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.08 / $310.95 / $354.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.79 / $477.63 / $477.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.10 / $569.97 / $636.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.67 / $386.54 / $525.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.63 / $700.52 / $955.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.30 / $700.52 / $859.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $636.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $653.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.70 / $478.70