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Alabama rates for HCPCS L5697

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $81.00 / $81.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $81.00 / $81.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $71.70 / $71.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $60.21 / $112.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $60.21 / $98.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $48.07 / $74.06