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Alaska rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $132.10 / $132.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $65.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.01 / $146.50 / $231.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $61.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $121.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.62 / $76.93 / $192.33