go back

Alaska rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $38.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $51.29 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $61.66 / $194.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $58.88 / $61.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $58.88 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $44.67 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $44.67 / $147.91