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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
Professional
Modifier
Low / Median / High Price
$9,549.93 / $11,748.98 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $15,135.61 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $15,488.17