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Indiana rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.63 / $118.63 / $249.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $118.63 / $123.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.92 / $223.10 / $249.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.89 / $126.97 / $175.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.69 / $264.25 / $348.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.88 / $274.20 / $336.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $249.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $166.47 / $255.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $124.36 / $166.57