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Indiana rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,424.65 / $6,424.65 / $13,499.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,490.88 / $6,424.65 / $6,681.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,664.82 / $12,082.29 / $13,499.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,663.06 / $6,777.58 / $9,353.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,429.85 / $14,174.76 / $18,899.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,474.80 / $14,849.75 / $18,224.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $13,499.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $13,848.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,689.76 / $6,734.89 / $9,020.17