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Alabama rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.72 / $332.72 / $332.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.98 / $332.72 / $332.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.83 / $318.83 / $318.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $421.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $369.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $197.46 / $316.77