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Alaska rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.23 / $87.23 / $92.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $71.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $43.24 / $43.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.45 / $86.45 / $123.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $43.24 / $69.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $86.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $84.10 / $158.60