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Nationwide rates for HCPCS L5654

Addition To Lower Extremity Socket Insert Symes (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.11 / $231.89 / $291.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.77 / $232.01 / $332.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.32 / $520.63 / $843.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.57 / $240.07 / $378.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $306.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $306.16 / $326.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.32 / $227.33 / $314.95