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Alaska rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $51.26 / $51.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $39.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.85 / $56.85 / $89.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $58.44 / $58.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $36.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $39.15 / $58.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $57.22 / $74.64