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Indiana rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.24 / $162.24 / $340.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $165.48 / $170.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.32 / $305.11 / $340.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $187.23 / $258.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.05 / $375.00 / $511.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.77 / $375.00 / $460.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $340.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $349.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $170.07 / $235.61