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Alaska rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,297.43 / $9,297.43 / $9,297.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,010.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $1,988.15 / $1,988.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,819.08 / $10,086.62 / $15,926.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $1,988.15 / $4,865.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $5,010.96 / $7,834.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,131.68 / $5,296.96 / $10,152.50