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Alabama rates for HCPCS L7404

Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $467.74