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Alaska rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.73 / $1,110.73 / $1,110.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,407.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $464.23 / $464.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.01 / $1,369.32 / $1,902.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $464.23 / $1,200.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,486.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.79 / $632.79 / $1,212.86