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Indiana rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $933.25 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $616.60 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $616.60