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Alabama rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.35 / $1,570.35 / $1,570.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.56 / $1,570.35 / $1,570.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.41 / $1,390.41 / $1,390.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $2,418.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $2,117.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $931.98 / $1,436.15