go back

Alabama rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $426.58