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Alabama rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.01 / $34.01 / $34.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $34.00 / $34.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $37.70 / $45.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $45.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $52.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $17.98 / $27.09