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Alaska rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.82 / $133.82 / $133.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.43 / $78.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $37.85 / $37.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.41 / $148.85 / $234.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $37.85 / $73.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $78.27 / $149.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $149.37 / $194.84