go back

Alabama rates for HCPCS 96004

Phys/Qhp R&I Cptr Mtn Alys Walk/Funcjl Actv Repr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.08 / $135.08 / $135.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.92 / $108.70 / $142.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.36 / $132.00 / $155.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $112.54 / $328.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $111.34 / $153.65