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Alabama rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.38 / $1,444.38 / $1,444.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.58 / $1,444.38 / $1,444.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.88 / $1,278.88 / $1,278.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $1,288.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,635.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,460.51 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $857.21 / $1,071.52