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Alaska rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.22 / $361.22 / $361.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $185.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $89.85 / $89.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $400.60 / $632.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $89.85 / $174.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $345.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $403.21 / $525.92