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Indiana rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.40 / $444.40 / $933.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.40 / $455.96 / $519.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $653.66 / $653.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.70 / $835.75 / $933.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.54 / $566.70 / $770.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.01 / $1,027.18 / $1,400.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.73 / $1,027.18 / $1,260.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $933.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $957.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $465.86 / $701.92