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Alaska rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $41.01 / $41.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $33.72 / $33.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $33.72 / $35.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $45.48 / $71.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $46.75 / $46.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $33.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $35.51 / $47.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $45.78 / $59.72