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Indiana rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.80 / $124.80 / $262.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.65 / $128.04 / $135.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.16 / $234.70 / $262.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.93 / $148.22 / $204.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.67 / $288.45 / $367.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.90 / $288.45 / $354.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $262.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $268.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $130.82 / $185.33