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Alaska rates for HCPCS L1240

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.27 / $116.27 / $116.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $28.17 / $28.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.82 / $128.94 / $203.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $28.17 / $62.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $66.95 / $109.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $67.70 / $169.28