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Nationwide rates for HCPCS L5655

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.39 / $179.64 / $204.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.90 / $179.64 / $266.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.93 / $378.89 / $649.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.39 / $201.58 / $278.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.07 / $221.07 / $221.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $221.07 / $235.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.36 / $170.48 / $251.47