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Alabama rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,803.79 / $14,803.79 / $14,803.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,518.65 / $14,803.79 / $14,803.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $17,515.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $15,337.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $8,785.82 / $12,169.09