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Alabama rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $302.00 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $309.03