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Alabama rates for HCPCS L5673

Addition To Lower Extremity Below Knee/Above Kneecustom Fabricated From Existing Mold Or Prefabricated Socket Insert Silicone Gel Elastomeric Or Equal For Use With Locking Mechanism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.41 / $717.41 / $717.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.36 / $717.41 / $717.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.08 / $725.43 / $853.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.92 / $564.92 / $564.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.15 / $501.15 / $948.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.84 / $501.15 / $830.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $425.77 / $616.57