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Alabama rates for HCPCS L5626

Addition To Lower Extremity Test Socket Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.05 / $481.05 / $481.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.31 / $481.05 / $481.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.93 / $425.93 / $425.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $763.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $668.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.55 / $648.55 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $285.49 / $439.93