go back

Indiana rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $8.99 / $18.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.23 / $11.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $13.22 / $13.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $16.91 / $18.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $13.60 / $18.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $20.78 / $28.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $20.78 / $25.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $18.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $19.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $9.43 / $14.20