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Alaska rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $28.18 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $36.31 / $46.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $158.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $46.77 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $46.77 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $48.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $35.48 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $35.48 / $120.23