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Alaska rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $391.20 / $619.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $120.28 / $158.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $71.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $31.74 / $31.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $132.66 / $209.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $31.74 / $67.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $70.41 / $93.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.65 / $173.04 / $254.57