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Alabama rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.97 / $127.97 / $127.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $127.97 / $127.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $122.63 / $122.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $151.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $98.15 / $132.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $75.95 / $114.29