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Alabama rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.72 / $312.72 / $312.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.83 / $312.72 / $312.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.61 / $251.61 / $251.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $369.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $429.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $185.59 / $265.79