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Indiana rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.75 / $335.75 / $705.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.75 / $344.48 / $392.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.34 / $631.41 / $705.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.16 / $455.05 / $614.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.12 / $776.04 / $1,058.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.66 / $776.04 / $952.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $705.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $723.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $351.96 / $530.29