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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
$6,456.54 / $6,456.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,606.93 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $13,803.84 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,760.83 / $12,302.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $13,803.84 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,606.93 / $9,120.11