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Alaska rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $549.60 / $549.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $230.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $111.27 / $111.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.21 / $609.51 / $962.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $111.27 / $215.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $404.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.08 / $613.48 / $800.19