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Alaska rates for HCPCS L1685

Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.40 / $2,152.40 / $2,152.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.35 / $837.35 / $837.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.27 / $837.35 / $892.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.60 / $431.60 / $431.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.06 / $2,387.00 / $3,768.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.60 / $431.60 / $837.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.27 / $837.35 / $1,570.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.58 / $874.74 / $874.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.41 / $2,402.59 / $3,133.82