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Alaska rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.89 / $298.89 / $332.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.84 / $314.87 / $415.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $214.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $214.16 / $251.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.04 / $181.73 / $296.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.18 / $395.12 / $551.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.95 / $364.20 / $364.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.82 / $358.95 / $740.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.66 / $195.96 / $305.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $296.91 / $487.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.24 / $165.61 / $165.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.65 / $351.46 / $458.43