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Alaska rates for HCPCS K0672

Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $104.39 / $104.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $43.91 / $43.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $30.94 / $30.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.72 / $98.41 / $149.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.71 / $90.71 / $97.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.88 / $97.37 / $200.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $30.94 / $82.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $82.89 / $200.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $95.32 / $124.34