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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
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $79.43 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $70.79 / $107.15