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Alaska rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,147.64 / $4,147.64 / $4,147.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $3,199.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.65 / $2,899.65 / $2,899.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,499.71 / $5,014.72 / $7,104.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.17 / $4,622.17 / $4,625.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,747.71 / $4,625.53 / $9,538.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,899.65 / $2,899.65 / $3,430.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,001.57 / $3,914.96 / $6,185.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,363.00 / $2,363.00 / $4,529.09