go back

Alabama rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.77 / $365.77 / $365.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.77 / $365.77 / $365.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.86 / $323.86 / $323.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $482.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $559.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $217.07 / $334.51