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Alabama rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.11 / $23.11 / $23.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $23.11 / $23.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $23.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.24 / $21.37