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Alabama rates for HCPCS L3640

Transfer Of An Orthosis From One Shoe To Another Dennis Browne Splint (Riveton) Both Shoes (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.22 / $47.22 / $47.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $47.22 / $47.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.96 / $38.96 / $38.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $52.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $60.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $23.01 / $27.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $23.21 / $35.67