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Alabama rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.91 / $927.00 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.87 / $128.07 / $163.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.70 / $264.19 / $355.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.69 / $220.13 / $287.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.51 / $137.91 / $300.00
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
$118.03 / $145.51 / $191.75