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Alabama rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.05 / $2,050.05 / $2,050.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.44 / $2,050.05 / $2,050.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.79 / $1,691.79 / $1,691.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,887.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.41 / $1,684.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $963.89 / $1,489.37