go back

Alaska rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.97 / $307.97 / $307.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $223.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $107.47 / $107.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.11 / $338.22 / $527.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $107.47 / $209.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $223.43 / $340.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $250.82 / $250.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.46 / $175.46 / $336.31