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Alaska rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.17 / $1,043.17 / $1,043.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $524.34 / $558.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.27 / $270.27 / $270.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.91 / $1,156.86 / $1,826.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.27 / $270.27 / $524.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $558.97 / $1,064.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.57 / $911.29 / $1,518.81