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Alaska rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,988.75 / $8,988.75 / $8,988.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $2,612.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.51 / $1,556.51 / $1,556.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,147.22 / $9,751.75 / $15,397.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.51 / $1,556.51 / $3,578.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $4,018.41 / $6,349.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,961.31 / $5,121.10 / $9,815.43