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Indiana rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $55.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $26.99 / $30.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.66 / $49.47 / $55.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $33.40 / $45.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $60.80 / $82.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.98 / $60.80 / $74.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $55.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $34.54 / $56.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $27.58 / $41.55