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Alabama rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $131.83 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $87.10 / $134.90