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Alaska rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,288.61 / $10,288.61 / $10,288.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $3,904.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $1,953.69 / $1,953.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,308.17 / $11,161.95 / $17,624.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $1,953.69 / $3,790.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,904.08 / $7,698.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,678.75 / $5,861.65 / $11,234.83