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Alabama rates for HCPCS L5697

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $54.95 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $72.44 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.86 / $72.44