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Indiana rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.97 / $201.97 / $424.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $206.01 / $242.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.27 / $379.83 / $424.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.62 / $248.84 / $343.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.29 / $466.83 / $623.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.73 / $466.83 / $572.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $424.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $435.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $211.72 / $313.60