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Indiana rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.43 / $193.43 / $406.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.96 / $197.30 / $201.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.10 / $363.77 / $406.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.93 / $205.41 / $283.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.83 / $447.10 / $600.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.48 / $447.10 / $548.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $406.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $379.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.91 / $537.91 / $537.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.82 / $202.77 / $271.58