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Alaska rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.80 / $291.80 / $291.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $202.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $97.89 / $97.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.33 / $323.60 / $510.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $97.89 / $189.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $202.45 / $327.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $217.53 / $424.85