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Alaska rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.71 / $225.71 / $225.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $360.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $168.53 / $168.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $386.64 / $497.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $168.53 / $322.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $498.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.59 / $128.59 / $246.47