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Nationwide rates for HCPCS L5658

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $251.19 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $269.15 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $363.08 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $331.13 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $371.54