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Indiana rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $111.43 / $234.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $111.43 / $115.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.96 / $209.55 / $234.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.47 / $107.08 / $147.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.18 / $245.84 / $327.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.01 / $257.54 / $316.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $234.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $205.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $116.81 / $154.84