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Alaska rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.50 / $78.50 / $78.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $48.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $38.85 / $38.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $77.81 / $111.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $38.85 / $47.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $77.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.65 / $108.57 / $141.62