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Alaska rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.26 / $108.26 / $108.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $86.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $128.19 / $189.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $84.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $86.86 / $128.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.08 / $120.84 / $157.62