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Indiana rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.48 / $329.48 / $692.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.48 / $338.05 / $369.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.91 / $619.62 / $692.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.85 / $420.80 / $571.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.23 / $761.54 / $1,038.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.46 / $761.54 / $934.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $692.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $710.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $518.09 / $520.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $520.39