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Alabama rates for HCPCS L5614

Addition To Lower Extremity Exoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.71 / $1,721.71 / $1,721.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.43 / $1,721.71 / $1,721.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.43 / $1,524.43 / $1,524.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $2,037.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $1,783.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $1,021.81 / $1,449.66