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Alaska rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.51 / $2,785.51 / $2,785.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $2,221.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $887.16 / $887.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.95 / $3,073.63 / $4,771.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $887.16 / $2,084.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,221.79 / $3,148.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.91 / $2,070.48 / $2,070.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.45 / $1,586.97 / $3,041.69