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Alaska rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.80 / $266.80 / $266.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $202.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $98.50 / $98.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $358.43 / $457.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $98.50 / $197.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $202.93 / $359.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.26 / $152.00 / $291.33