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Alabama rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.84 / $106.84 / $360.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.58 / $65.87 / $106.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $74.84 / $74.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $116.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $102.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $50.24 / $80.22