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Alaska rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.63 / $319.63 / $319.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $316.45 / $383.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $211.27 / $225.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $108.90 / $108.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.94 / $350.94 / $554.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $108.90 / $211.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $211.27 / $362.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.55 / $184.30 / $460.74