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Indiana rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.59 / $68.59 / $144.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $70.38 / $80.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.87 / $129.01 / $144.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $87.33 / $118.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.11 / $158.55 / $216.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.52 / $158.55 / $194.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $144.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $147.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $71.91 / $108.35