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Alaska rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $47.40 / $47.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $33.74
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 / $31.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $33.74 / $54.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $29.25 / $29.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $52.91 / $69.02