go back

Alabama rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.67 / $186.67 / $186.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $186.67 / $186.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.28 / $165.28 / $165.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $236.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $207.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.68 / $251.68 / $296.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $110.79 / $170.72