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Alaska rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.49 / $1,261.49 / $1,261.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $535.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $333.63 / $333.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.33 / $1,398.97 / $2,208.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $333.63 / $732.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $888.71 / $1,404.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.75 / $734.67 / $1,836.68