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Alabama rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $104.71 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $72.44 / $107.15