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Indiana rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.93 / $191.93 / $403.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.93 / $196.92 / $235.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.60 / $360.94 / $403.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.22 / $321.33 / $432.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.80 / $457.06 / $604.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.80 / $443.62 / $544.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $403.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $424.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $201.20 / $305.26