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Alabama rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.57 / $802.57 / $802.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.61 / $802.57 / $802.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.54 / $811.54 / $954.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.82 / $588.82 / $588.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $954.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,107.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $714.47 / $733.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $476.31 / $733.98