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Alabama rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.03 / $183.03 / $183.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.96 / $183.03 / $183.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.27 / $144.27 / $144.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $140.85 / $217.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $252.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $108.63 / $167.39