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Alaska rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $35.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25