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Indiana rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.64 / $1,821.64 / $3,827.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.80 / $1,821.64 / $1,894.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,023.90 / $3,425.81 / $3,827.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.56 / $1,932.42 / $2,666.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,701.08 / $4,019.11 / $5,358.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.56 / $4,210.49 / $5,167.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $3,827.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $3,679.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,909.60 / $2,557.56