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Alabama rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.03 / $565.03 / $565.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.97 / $565.03 / $565.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.25 / $455.25 / $455.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $709.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $420.01 / $621.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $335.33 / $516.74