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Alabama rates for HCPCS L1620

Hip Orthosis Abduction Control Of Hip Joints Flexible (Pavlik Harness) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.88 / $146.88 / $146.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.53 / $146.88 / $146.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.75 / $116.75 / $116.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.36 / $117.36 / $189.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $117.36 / $165.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $75.31 / $113.43