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Indiana rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $4,073.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,888.44 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $6,165.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,918.31 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,884.03 / $4,365.16