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Alaska rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.50 / $438.50 / $438.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $628.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $254.51 / $254.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.72 / $750.70 / $751.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $254.51 / $589.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $752.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.03 / $249.82 / $478.83