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Alabama rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.61 / $171.61 / $171.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.16 / $171.61 / $171.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.45 / $164.45 / $164.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $241.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $211.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $101.84 / $162.63