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Alabama rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $295.12 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $309.03