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Nationwide rates for HCPCS L4055

Replace Non-Molded Calf Lacer For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.76 / $161.76 / $205.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $170.53 / $231.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.17 / $338.39 / $602.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $183.43 / $260.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.19 / $188.19 / $207.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $188.19 / $200.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.48 / $150.25 / $231.53