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Alabama rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,677.35 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,090.30 / $4,786.30