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Alaska rates for HCPCS L0830

Halo procedure, cervical halo incorporated into Milwaukee type orthotic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,469.90 / $5,469.90 / $5,469.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.59 / $2,507.59 / $2,507.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $2,507.59 / $2,582.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.80 / $1,137.80 / $1,137.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,053.50 / $6,066.08 / $9,578.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.80 / $1,137.80 / $2,507.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $2,582.82 / $4,483.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,086.18 / $3,185.57 / $7,963.94