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Alaska rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $63.39 / $63.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.48 / $63.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $31.69 / $31.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $93.46 / $110.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.26 / $72.26 / $72.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $31.69 / $61.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $63.32 / $96.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.92 / $70.76 / $92.30