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Alaska rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.14 / $884.14 / $884.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $47.40 / $63.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $35.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.57 / $52.57 / $83.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $54.04 / $54.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $33.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $35.40 / $54.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $52.91 / $69.02