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Alabama rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,221.22 / $3,221.22 / $3,221.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.02 / $3,221.22 / $3,221.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $3,811.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $2,381.07 / $3,337.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.68 / $1,911.75 / $2,631.84