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Indiana rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.37 / $1,960.37 / $4,119.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.38 / $1,960.37 / $2,038.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,883.45 / $2,883.45 / $2,883.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.18 / $3,686.70 / $4,119.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.50 / $2,148.37 / $2,964.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,055.85 / $4,493.89 / $5,766.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,501.34 / $4,531.14 / $5,560.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $4,119.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $4,225.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.74 / $2,055.04 / $2,752.37