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Alabama rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.79 / $1,248.79 / $1,248.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.25 / $1,248.79 / $1,248.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.70 / $1,105.70 / $1,105.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,813.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,232.20 / $1,588.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $741.14 / $1,150.48