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Alaska rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.78 / $457.78 / $457.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $351.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.85 / $169.85 / $169.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.64 / $500.99 / $784.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.85 / $169.85 / $329.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $501.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.67 / $260.81 / $499.88