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Alaska rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.42 / $178.26 / $178.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $120.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $45.51 / $45.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $197.70 / $312.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $45.51 / $102.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $120.31 / $167.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.58 / $103.82 / $259.55