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Alabama rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.50 / $280.50 / $280.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.46 / $280.50 / $280.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $283.63 / $333.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.09 / $221.09 / $221.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $357.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $313.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $249.71 / $256.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $166.47 / $265.82