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Nationwide rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,148.15 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $1,621.81