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Indiana rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.92 / $1,848.92 / $3,885.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.04 / $1,848.92 / $1,922.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.17 / $3,477.10 / $3,885.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.78 / $1,947.88 / $2,688.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,913.77 / $4,273.53 / $5,439.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,302.28 / $4,273.53 / $5,244.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $3,885.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $3,985.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.97 / $1,938.20 / $2,569.27