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Alaska rates for HCPCS L5638

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $676.08 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $2,041.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $831.76 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $489.78 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $1,412.54