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Alabama rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $54.20 / $54.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $54.20 / $54.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $43.99 / $59.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $52.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $26.63 / $41.28