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Nationwide rates for HCPCS L4050

Replace Molded Calf Lacer, For Custom Fabricated Orthotic Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.37 / $258.52 / $324.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.85 / $266.12 / $363.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.10 / $566.48 / $948.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.36 / $283.29 / $424.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.63 / $290.63 / $320.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.16 / $290.63 / $299.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.22 / $444.22 / $444.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.24 / $232.41 / $369.87