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Alabama rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $446.68