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Alaska rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.98 / $838.98 / $838.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $589.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.19 / $247.19 / $247.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.20 / $954.27 / $1,437.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.19 / $247.19 / $572.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $589.37 / $973.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.98 / $477.98 / $1,852.12