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Alaska rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.53 / $568.53 / $568.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $472.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $228.32 / $228.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.79 / $751.93 / $973.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $228.32 / $458.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $760.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.79 / $323.89 / $620.82