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Alabama rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.57 / $20.57 / $20.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $20.57 / $20.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $28.09 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.49 / $25.37