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Alaska rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.88 / $161.88 / $161.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $76.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.93 / $179.54 / $283.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $41.00 / $104.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $94.41 / $221.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $180.71 / $307.20