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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
$426.58 / $478.63 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $562.34 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $2,137.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $457.09 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $1,621.81