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Alabama rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,789.25 / $3,789.25 / $3,789.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.51 / $3,789.25 / $3,789.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,831.58 / $3,831.58 / $3,831.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,986.66 / $2,986.66 / $2,986.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $4,483.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $3,925.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,248.86 / $3,160.41