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Alabama rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.80 / $552.80 / $552.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.76 / $552.80 / $552.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.46 / $489.46 / $489.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $745.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $652.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $328.08 / $505.56