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Alabama rates for HCPCS L5858

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,962.38 / $18,962.38 / $18,962.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,630.76 / $18,962.38 / $18,962.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,789.61 / $16,789.61 / $16,789.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,513.81 / $14,513.81 / $22,436.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $14,513.81 / $21,470.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,666.14 / $11,253.89 / $15,492.85