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Alaska rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $35.56 / $35.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $30.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $50.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $30.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $49.19 / $64.16