go back

Alabama rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.46 / $497.46 / $497.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.66 / $497.46 / $497.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.46 / $440.46 / $440.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $666.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $583.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $295.24 / $454.95