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Alaska rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $562.34 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $2,187.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $645.65 / $676.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $416.87 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $1,659.59