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Alabama rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.03 / $230.03 / $230.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $230.03 / $230.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.42 / $220.42 / $220.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $170.64 / $272.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $170.64 / $239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $136.51 / $205.43