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Alaska rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.98 / $178.98 / $178.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $87.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.88 / $198.49 / $313.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $119.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $152.93 / $242.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.98 / $199.78 / $260.58