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Alabama rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $48.98 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $33.88 / $52.48