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Indiana rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.79 / $1,928.79 / $4,052.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.79 / $1,967.37 / $2,011.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,201.77 / $3,627.32 / $4,052.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.98 / $2,199.78 / $3,035.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.17 / $3,850.24 / $5,471.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.23 / $4,042.75 / $5,197.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,052.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $4,107.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $2,021.93 / $2,780.96