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Alaska rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.02 / $252.02 / $252.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $203.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $84.01 / $84.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.80 / $279.49 / $441.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $84.01 / $190.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $193.46 / $289.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $281.31 / $366.93