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Alabama rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.76 / $414.76 / $414.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.33 / $414.76 / $414.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.28 / $342.28 / $342.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $500.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $352.55 / $438.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $229.42 / $345.60