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Alaska rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,316.60 / $5,316.60 / $5,316.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $2,909.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.53 / $1,270.53 / $1,270.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,934.88 / $5,767.89 / $9,107.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.53 / $1,270.53 / $2,481.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,909.47 / $5,006.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,965.23 / $2,965.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,011.63 / $3,028.98 / $9,520.01