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Alaska rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.85 / $566.85 / $566.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $491.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $195.06 / $195.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.63 / $628.63 / $992.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $195.06 / $419.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $490.76 / $652.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.82 / $632.73 / $825.30