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Alabama rates for HCPCS 15276

Sub Grft F/S/N/H/F/G/M/D<100sq Cm Ea Addl25sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $927.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.10 / $27.78 / $31.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $26.69 / $35.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $28.05 / $66.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $31.83 / $41.24