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Alabama rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.80 / $1,295.80 / $1,295.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.12 / $1,295.80 / $1,295.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.32 / $1,147.32 / $1,147.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,780.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $1,558.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $769.04 / $1,227.96