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Alaska rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $115.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $43.54 / $43.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.56 / $171.25 / $239.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $43.54 / $112.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $115.73 / $171.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.11 / $152.55 / $198.98