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Alaska rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.79 / $4,128.79 / $4,128.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $1,991.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.01 / $1,277.01 / $1,277.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,479.25 / $4,644.66 / $7,072.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.01 / $1,277.01 / $2,728.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $3,626.06 / $5,525.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.26 / $2,352.26 / $4,508.51