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Indiana rates for HCPCS L8410

Prosthetic Sheath Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.84 / $11.84 / $24.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $12.14 / $13.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $22.25 / $24.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $15.47 / $20.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $27.35 / $37.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $27.35 / $33.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $24.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.62 / $25.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $12.40 / $18.69