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Alabama rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.15 / $645.15 / $645.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.66 / $645.15 / $645.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.23 / $571.23 / $571.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $884.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $774.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $382.88 / $611.37