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Alabama rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.05 / $567.05 / $567.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.01 / $567.05 / $567.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.09 / $502.09 / $502.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $671.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $434.07 / $642.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.36 / $336.55 / $477.49