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Nationwide rates for HCPCS L5694

Addition to lower extremity, above knee (AK), pelvic control belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $134.90 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $162.18 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $181.97