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Nationwide rates for HCPCS L5613

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with hydraulic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,454.71