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Alabama rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.39 / $219.39 / $219.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.42 / $219.39 / $219.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.25 / $194.25 / $194.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $347.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $304.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $195.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $130.21 / $200.64