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Alaska rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.79 / $87.79 / $87.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $65.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $26.21 / $26.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $97.36 / $153.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $26.21 / $61.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $63.42 / $100.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $97.99 / $127.82