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Indiana rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,143.10 / $10,143.14 / $21,313.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,115.26 / $10,346.00 / $10,548.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,919.28 / $14,919.28 / $14,919.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,837.47 / $19,075.36 / $21,313.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,303.16 / $11,303.16 / $15,259.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,984.94 / $23,444.58 / $31,323.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,116.25 / $23,444.58 / $28,772.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $21,313.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $21,863.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,259.28 / $10,632.95 / $15,085.95