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Alabama rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.37 / $514.37 / $514.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.24 / $514.37 / $514.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $455.43 / $455.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.82 / $499.82 / $772.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $499.82 / $676.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $433.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.74 / $305.27 / $445.50