go back

Alabama rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.84 / $728.70 / $884.39
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
$675.25 / $925.00 / $1,091.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.71 / $802.77 / $1,711.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,384.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.54 / $821.76 / $929.15