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Alaska rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.66 / $171.66 / $171.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $68.45 / $68.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $72.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $34.09 / $34.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $190.37 / $300.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $34.09 / $68.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $68.45 / $124.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.85 / $191.61 / $249.93