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Alaska rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $113.73 / $113.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $101.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.72 / $112.72 / $161.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $56.24 / $139.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $161.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $157.30 / $205.17