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Alaska rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.27 / $688.27 / $688.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $310.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $120.15 / $120.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.41 / $763.28 / $1,205.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $120.15 / $291.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $447.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $211.05 / $211.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.32 / $768.26 / $1,002.08