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Alabama rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.67 / $3,707.67 / $3,707.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.08 / $3,707.67 / $3,707.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.10 / $3,749.10 / $4,343.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,922.36 / $2,922.36 / $2,922.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $4,386.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $3,841.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.42 / $2,200.44 / $3,121.83