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Alabama rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.96 / $168.96 / $168.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $168.96 / $168.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $133.18 / $133.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $195.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $122.31 / $171.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $100.28 / $155.93