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Alaska rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $21.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29