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Indiana rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $426.58 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $309.03 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $302.00