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Alabama rates for HCPCS A4617

Mouth Piece (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $3.14 / $3.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $4.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.98 / $3.05