go back

Indiana rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,290.87 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,677.35 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,677.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,623.41 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,754.23 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,388.44 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,290.87 / $3,311.31