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Alabama rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.43 / $2,141.51 / $3,546.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,083.41 / $7,382.51 / $9,931.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,196.72 / $4,612.00 / $5,442.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.21 / $2,639.81 / $7,419.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,430.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.86 / $2,207.62 / $3,674.53