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Alabama rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.63 / $320.63 / $320.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.85 / $320.63 / $320.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $324.22 / $381.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.37 / $245.37 / $245.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $381.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $333.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $190.30 / $303.85