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Alabama rates for HCPCS L3901

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Cable Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.67 / $1,741.67 / $1,741.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.46 / $1,741.67 / $1,741.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.30 / $1,437.30 / $1,437.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.01 / $1,107.01 / $2,327.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $1,107.01 / $2,038.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $883.84 / $1,331.38