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Alabama rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.79 / $142.79 / $142.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $142.79 / $142.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $107.71 / $107.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $157.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $137.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $70.16 / $108.73