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Indiana rates for HCPCS L6350

Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,794.19 / $2,794.19 / $5,871.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.86 / $2,794.19 / $2,905.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,638.32 / $5,254.80 / $5,871.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,823.59 / $2,872.13 / $3,963.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.07 / $6,164.85 / $8,219.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,990.60 / $6,458.42 / $7,926.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.08 / $3,798.08 / $5,871.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.60 / $3,798.08 / $6,022.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.60 / $2,929.12 / $3,783.64