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Indiana rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.44 / $2,182.44 / $4,585.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.44 / $2,226.10 / $2,444.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,622.84 / $4,104.35 / $4,585.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.00 / $2,704.43 / $3,700.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,439.40 / $5,044.46 / $6,675.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,897.99 / $5,044.46 / $6,190.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $4,585.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $4,704.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.08 / $2,287.84 / $3,368.47