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Alaska rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $137.74 / $181.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $66.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $30.83 / $30.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.74 / $152.75 / $241.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $30.83 / $62.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $66.95 / $121.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $153.74 / $200.54