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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
$434.59 / $434.59 / $913.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.56 / $443.28 / $451.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.41 / $817.30 / $913.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.51 / $491.79 / $678.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.89 / $1,004.50 / $1,278.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.20 / $1,004.50 / $1,232.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $913.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $918.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.98 / $455.57 / $621.73