go back

Indiana rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $369.41 / $776.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.42 / $376.80 / $384.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.21 / $694.72 / $776.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.67 / $414.81 / $572.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.17 / $853.84 / $1,086.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.79 / $853.84 / $1,047.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $776.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $796.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $387.25 / $525.65