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Indiana rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.71 / $125.71 / $264.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $125.71 / $130.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.68 / $236.41 / $264.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $144.94 / $200.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.11 / $290.57 / $369.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.53 / $290.57 / $356.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $264.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $231.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $131.78 / $176.51