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Alaska rates for HCPCS L5639

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

Facilitymedian $871 · 10th–90th $437–$2,2390%20%40%10th90th$871Professionalmedian $1,000 · 10th–90th $759–$3,1620%10%20%10th90th$1,000$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,318.26 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $2,238.72 / $4,677.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,238.72 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $870.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $3,235.94