go back

Alabama rates for HCPCS L5642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.10 / $625.10 / $625.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.48 / $625.10 / $625.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.48 / $553.48 / $553.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $819.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $950.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $370.99 / $571.67