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Alabama rates for HCPCS L8002

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Bilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.35 / $168.35 / $168.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $168.35 / $168.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.32 / $161.32 / $161.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $199.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $174.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $99.91 / $150.35