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Alabama rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,406.98 / $2,406.98 / $2,406.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.48 / $2,406.98 / $2,406.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,433.87 / $2,433.87 / $2,433.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.11 / $1,750.11 / $1,750.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $2,958.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $2,590.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,428.51 / $1,820.37