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Alaska rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $389.05 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $478.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $537.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $380.19 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $398.11 / $1,122.02