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Alaska rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.52 / $763.52 / $763.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.60 / $252.60 / $252.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $184.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $128.93 / $128.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.05 / $846.74 / $1,336.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $128.93 / $252.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $395.86 / $625.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.79 / $852.27 / $1,111.65