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Alaska rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $18.82 / $29.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $19.36 / $19.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $13.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.80 / $19.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.78 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $18.96 / $24.74