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Alabama rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $562.34 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $562.34