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Alabama rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.75 / $382.75 / $382.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.39 / $382.75 / $382.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.40 / $448.40 / $448.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.11 / $292.11 / $292.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $477.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $418.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $479.40 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $227.15 / $325.19