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Nationwide rates for HCPCS L5658

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.56 / $246.65 / $335.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.38 / $250.37 / $362.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.79 / $534.89 / $955.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.38 / $266.11 / $420.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.26 / $366.26 / $366.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $345.63 / $390.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.26 / $241.50 / $351.07