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Alaska rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.66 / $257.66 / $257.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $177.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $85.83 / $85.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.54 / $337.56 / $441.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $85.83 / $166.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $177.52 / $338.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.22 / $146.80 / $281.36