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Indiana rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.68 / $1,781.68 / $3,743.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.68 / $1,828.00 / $1,862.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,957.55 / $3,350.65 / $3,743.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.63 / $2,249.31 / $3,036.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,823.04 / $4,118.10 / $5,615.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,182.18 / $4,118.10 / $5,054.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $3,743.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $3,840.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $1,867.71 / $2,571.06