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Indiana rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.02 / $44.02 / $92.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $45.16 / $50.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $82.78 / $92.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.33 / $54.49 / $75.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.72 / $101.74 / $138.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $101.74 / $124.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $59.82 / $94.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.25 / $144.25 / $144.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $46.14 / $67.77