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Nationwide rates for HCPCS L5781

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $19,054.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,311.31 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $3,715.35