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Alabama rates for HCPCS L5613

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with hydraulic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,541.53 / $2,541.53 / $2,541.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.81 / $2,541.53 / $2,541.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.20 / $2,003.20 / $2,003.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $2,941.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $2,575.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,508.36 / $2,261.29