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Alaska rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.16 / $753.16 / $753.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.57 / $243.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $121.94 / $121.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.31 / $835.25 / $1,318.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $121.94 / $236.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.57 / $480.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.94 / $840.70 / $1,096.56