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Alabama rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $21.63 / $21.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $21.63 / $21.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $22.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.83 / $19.78