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Alabama rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.81 / $366.81 / $366.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $366.81 / $366.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.91 / $370.91 / $370.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.72 / $295.72 / $295.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $481.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $422.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $217.69 / $335.46