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Alaska rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.25 / $133.25 / $133.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $91.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $45.85 / $45.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.77 / $147.77 / $233.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $45.85 / $88.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $91.63 / $153.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.18 / $148.72 / $194.00