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Alabama rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.60 / $238.60 / $238.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.18 / $238.60 / $238.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.26 / $211.26 / $211.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $246.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $285.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $141.61 / $177.01