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Alabama rates for HCPCS L5703

Ankle Symes Molded To Patient Model Socket Without Solid Ankle Cushion Heel (Sach) Foot Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.96 / $2,272.96 / $2,272.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.41 / $2,272.96 / $2,272.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.52 / $2,012.52 / $2,012.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.51 / $2,119.51 / $3,045.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.24 / $2,119.51 / $2,666.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.06 / $1,348.97 / $2,018.92