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Alabama rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.55 / $492.55 / $492.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.16 / $492.55 / $492.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.05 / $498.05 / $498.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.51 / $393.51 / $393.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $585.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $679.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $292.32 / $450.45