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Indiana rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.89 / $387.89 / $815.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.90 / $395.65 / $407.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.89 / $729.47 / $815.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.61 / $426.28 / $575.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.47 / $878.63 / $1,141.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.79 / $896.56 / $1,100.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $815.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $836.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $406.62 / $568.01