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Alabama rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,471.63 / $3,471.63 / $3,471.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.19 / $3,471.63 / $3,471.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.32 / $2,604.32 / $2,604.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $4,593.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $4,022.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.10 / $4,625.10 / $5,441.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.30 / $2,060.36 / $3,137.34