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Indiana rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.44 / $367.44 / $772.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.21 / $373.91 / $382.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.95 / $691.02 / $772.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.81 / $408.18 / $563.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.53 / $839.01 / $1,080.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.28 / $849.30 / $1,042.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $772.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $792.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $385.18 / $516.01