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Alabama rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $263.03