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Alaska rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.68 / $1,852.68 / $1,852.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $1,416.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $562.79 / $562.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.78 / $2,009.94 / $3,173.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $562.79 / $1,375.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,404.30 / $2,023.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.51 / $1,055.51 / $2,023.06