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Alabama rates for HCPCS L5647

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $724.44