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Alabama rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.61 / $334.61 / $334.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.94 / $334.61 / $334.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.34 / $338.34 / $338.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.73 / $263.73 / $263.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $473.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $306.16 / $414.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $198.59 / $306.01