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Alabama rates for HCPCS L4090

Replace Metal Bands Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.13 / $96.13 / $96.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.51 / $96.13 / $96.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.33 / $79.33 / $79.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $101.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $89.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $50.75 / $76.45