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Alabama rates for HCPCS L5696

Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $165.96 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $169.82