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Indiana rates for HCPCS L6900

Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.18 / $1,114.18 / $2,341.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.15 / $1,114.18 / $1,158.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.52 / $2,095.34 / $2,341.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.84 / $1,107.56 / $1,528.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.87 / $2,575.28 / $3,277.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.99 / $2,575.28 / $3,160.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.82 / $1,132.82 / $2,341.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.96 / $826.96 / $2,401.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.80 / $1,052.80 / $1,052.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.96 / $1,167.98 / $1,548.26