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Nationwide rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $81.28 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $87.10 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $77.62 / $120.23