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Alaska rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $29.47 / $29.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $25.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $32.68 / $51.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.59 / $33.59 / $33.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $23.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $25.14 / $33.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $18.18 / $18.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.62 / $17.16 / $42.90