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Alaska rates for HCPCS L3010

Foot insert, removable, molded to patient model, longitudinal arch support, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.15 / $175.56 / $175.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $102.59 / $134.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $60.40 / $60.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.69 / $194.69 / $307.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $60.40 / $140.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $134.37 / $240.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.05 / $195.97 / $255.62