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Alabama rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $1,412.54