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Alaska rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.22 / $1,013.22 / $1,013.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $626.01 / $644.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $243.51 / $243.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.60 / $1,123.65 / $1,774.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $243.51 / $626.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $644.79 / $959.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.66 / $1,130.98 / $1,475.19