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Alaska rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.02 / $617.85 / $617.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $335.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $195.32 / $195.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.11 / $670.30 / $1,058.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $195.32 / $459.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $449.77 / $710.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.01 / $352.01 / $674.68