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Alaska rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.53 / $1,489.53 / $1,489.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $743.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $525.02 / $525.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.61 / $1,615.97 / $2,551.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $525.02 / $1,018.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $1,209.00 / $1,993.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.13 / $848.62 / $1,626.51