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Alabama rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.60 / $681.60 / $681.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.18 / $681.60 / $681.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $955.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $836.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $404.52 / $561.04