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Indiana rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $79.43 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $87.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $112.20 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $48.98 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $60.26 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $58.88