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Alabama rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,082.38 / $4,082.38 / $4,082.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.39 / $4,082.38 / $4,082.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $4,830.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,886.72 / $4,229.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,890.35 / $4,890.35 / $5,753.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.14 / $2,422.83 / $3,335.43