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Alabama rates for HCPCS Q4151

AmnioBand or Guardian, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $138.04 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $144.54