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Alaska rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.74 / $442.74 / $442.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $178.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.47 / $114.47 / $114.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.50 / $490.99 / $775.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.47 / $114.47 / $243.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $283.01 / $451.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.80 / $494.20 / $644.61