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Alabama rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.29 / $2,775.29 / $2,775.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.54 / $2,775.29 / $2,775.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.14 / $2,476.14 / $3,301.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.62 / $2,080.62 / $2,080.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $3,234.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $2,832.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.22 / $3,123.22 / $3,674.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,647.10 / $2,118.58