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Alabama rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.30 / $443.30 / $443.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.15 / $443.30 / $443.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.26 / $448.26 / $448.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.25 / $357.25 / $357.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $527.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $461.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $263.08 / $405.42