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Indiana rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.35 / $266.35 / $559.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.35 / $273.27 / $278.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.14 / $500.90 / $559.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $305.45 / $421.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.05 / $615.64 / $839.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.72 / $615.64 / $755.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $559.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $574.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $279.20 / $384.36