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Alaska rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.03 / $2,915.03 / $2,915.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,544.16 / $1,590.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.64 / $648.64 / $648.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.75 / $3,232.75 / $5,104.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.64 / $648.64 / $1,544.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,590.48 / $2,555.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.69 / $3,253.86 / $4,244.16