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Alabama rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,284.83 / $4,284.83 / $4,284.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.21 / $4,284.83 / $4,284.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,793.86 / $3,793.86 / $3,793.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $5,531.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $6,412.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.34 / $2,542.96 / $3,715.30