go back

Indiana rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $12.25 / $25.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.57 / $13.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $23.03 / $25.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $15.65 / $21.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $28.30 / $38.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $28.30 / $34.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $26.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.83 / $19.34