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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
Facility
Modifier
Low / Median / High Price
$375.75 / $375.75 / $375.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.84 / $375.75 / $375.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.33 / $302.33 / $302.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $444.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $515.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.09 / $223.01 / $319.35