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Alaska rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.80 / $2,605.80 / $2,605.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,295.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,295.39 / $1,380.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.69 / $667.69 / $667.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.25 / $2,826.98 / $4,463.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.69 / $667.69 / $1,295.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,380.95 / $2,630.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.26 / $1,484.58 / $2,845.45