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Nationwide rates for HCPCS L5655

Addition to lower extremity, socket insert, below knee (BK) (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $177.83 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $199.53 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $239.88 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $275.42