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Alaska rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.21 / $101.21 / $101.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $72.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $34.83 / $34.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.24 / $112.24 / $177.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $34.83 / $67.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $72.04 / $116.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $77.40 / $147.36