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Alaska rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $23.31 / $23.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $16.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $25.85 / $40.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.57 / $26.57 / $26.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $15.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $16.85 / $27.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $20.36 / $33.93