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Alabama rates for HCPCS L4397

Static Or Dynamic Ankle Foot Orthosis Including Soft Interface Material Adjustable For Fit For Positioning May Be Used For Minimal Ambulation Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.39 / $183.39 / $183.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $129.97 / $183.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.30 / $139.30 / $139.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $127.07 / $202.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $234.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.97 / $91.73 / $141.12