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Alaska rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $22.91 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $36.31 / $64.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $64.57 / $120.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $66.07 / $67.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $66.07 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $48.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $29.51 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $50.12 / $165.96