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Indiana rates for HCPCS L6676

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.77 / $71.77 / $150.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.77 / $73.64 / $82.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.13 / $134.97 / $150.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $88.15 / $121.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.97 / $165.88 / $226.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.18 / $165.88 / $203.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $150.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $154.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $75.23 / $109.41