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Alabama rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.46 / $83.46 / $83.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $59.42 / $83.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.41 / $69.41 / $97.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $66.88 / $66.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $89.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.00 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $44.87 / $67.59