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Alaska rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.56 / $710.18 / $710.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $345.03 / $367.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $142.47 / $142.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.20 / $787.59 / $1,243.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $142.47 / $345.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $367.82 / $561.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.69 / $792.72 / $1,033.98