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Alabama rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.03 / $378.03 / $378.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.99 / $378.03 / $378.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.71 / $334.71 / $334.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $447.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $318.35 / $428.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $224.35 / $321.32