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Alabama rates for HCPCS L5679

Addition To Lower Extremity Below Knee/Above Kneecustom Fabricated Fromexisting Mold Or Prefabric Ated Socket Insert Silicone Gel Elastomeric Or Equal Not For Use With Locking Mechanism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.80 / $597.80 / $597.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $597.80 / $597.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.50 / $604.50 / $711.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.54 / $459.54 / $459.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.05 / $440.05 / $790.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.24 / $440.05 / $692.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.28 / $354.79 / $513.79