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Alabama rates for HCPCS L8000

Breast Prosthesis Mastectomy Bra Without Integrated Breast Prosthesis Form Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.37 / $44.37 / $44.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $44.37 / $44.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $42.52 / $42.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $51.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $44.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $26.33 / $39.29