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Alabama rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,775.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.22 / $2,359.91 / $2,359.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,494.74 / $4,241.04 / $5,705.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.40 / $1,472.00 / $1,736.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.58 / $1,283.35 / $2,490.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.07 / $1,124.48 / $1,529.13