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Alaska rates for HCPCS L3580

Orthopedic Shoe Addition Convert Instep To Velcro Closure (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $65.34 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $43.62 / $46.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $22.48 / $22.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.47 / $72.47 / $114.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $74.48 / $74.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $22.48 / $43.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $46.50 / $75.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $72.93 / $95.13