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Alabama rates for HCPCS L2387

Addition To Lower Extremity Polycentric Knee Joint For Custom Fabricated Knee Ankle Foot Orthosis Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $184.69 / $184.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $184.69 / $184.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.54 / $147.54 / $147.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $230.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $201.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.05 / $92.18 / $110.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $93.02 / $140.63