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Alabama rates for HCPCS L6695

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.80 / $597.80 / $597.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $597.80 / $597.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.30 / $529.30 / $529.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $790.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $564.36 / $692.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.28 / $354.79 / $513.79