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Alabama rates for HCPCS L4050

Replace molded calf lacer, for custom fabricated orthosis only

Facilitymedian $219 · 10th–90th $174–$3240%10%20%10th90th$219Professionalmedian $251 · 10th–90th $209–$4170%10%20%10th90th$251$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $257.04 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $269.15 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $218.78 / $354.81