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Alabama rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $331.13