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Alaska rates for HCPCS L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $45.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $79.43 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $141.25 / $223.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $141.25 / $147.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $109.65 / $363.08