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Alaska rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.89 / $76.89 / $76.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $51.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $51.32 / $54.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $26.46 / $26.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $85.26 / $134.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.65 / $87.65 / $87.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $26.46 / $51.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $54.71 / $88.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $85.82 / $111.95