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Alabama rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.68 / $130.68 / $130.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $130.68 / $130.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $132.13 / $155.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $106.30 / $106.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $154.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $100.03 / $135.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $77.56 / $110.03