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Alabama rates for HCPCS Q4107

Graftjacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $85.96 / $85.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.92 / $85.96 / $85.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $85.96 / $85.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.96 / $85.96 / $173.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $136.47 / $136.47