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Alaska rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.03 / $1,948.03 / $1,948.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $670.35 / $670.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.36 / $2,160.36 / $3,411.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.35 / $670.35 / $1,300.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $1,686.56 / $2,664.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.09 / $2,174.44 / $2,836.25