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Alabama rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.15 / $1,792.15 / $1,792.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.21 / $1,792.15 / $1,792.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.80 / $1,586.80 / $1,586.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $2,504.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,620.00 / $2,192.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.94 / $2,365.94 / $2,783.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.32 / $1,063.60 / $1,604.89