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Alaska rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.89 / $34.89 / $34.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $31.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $17.23 / $17.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $34.58 / $49.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $17.23 / $30.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $34.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $48.25 / $125.88