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Nationwide rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $346.74 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $501.19 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $436.52 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $512.86