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Alabama rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.90 / $204.90 / $204.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $204.90 / $204.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.42 / $181.42 / $181.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $262.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $232.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $121.61 / $187.40