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Alaska rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.13 / $537.13 / $537.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $292.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $117.59 / $117.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.14 / $582.73 / $920.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $117.59 / $274.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $292.80 / $463.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.47 / $306.02 / $586.53