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Alaska rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.88 / $85.88 / $85.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $71.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $95.24 / $150.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.90 / $97.90 / $97.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $29.54 / $69.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $71.73 / $98.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $95.85 / $125.03