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Nationwide rates for HCPCS L5683

Addition To Lower Extremity Below Knee/Above Knee Custom Fabricated Socket Insert For Other Than Congenital Or Atypical Traumatic Amputee Siliconegel Elastomeric Or Equal For Use With Or Without Locking Mechanism Initial Only(For Other Than I Nitial Use Code L5673 Or L5679)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.07 / $804.30 / $1,007.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.96 / $817.41 / $1,188.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.90 / $1,659.15 / $3,099.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.60 / $954.08 / $1,286.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.52 / $950.52 / $950.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.88 / $950.52 / $1,013.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.08 / $796.43 / $1,122.70