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Alabama rates for HCPCS L6697

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.10 / $1,342.10 / $1,342.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.63 / $1,342.10 / $1,342.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.32 / $1,188.32 / $1,188.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,111.22 / $1,587.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $811.19 / $1,840.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $796.51 / $1,130.31