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Alaska rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,224.30 / $3,224.30 / $3,224.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $2,480.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $1,109.53 / $1,109.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.72 / $3,575.72 / $5,645.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.53 / $1,109.53 / $2,326.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,480.44 / $3,710.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.18 / $3,599.06 / $4,694.43