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Alaska rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.05 / $675.05 / $675.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $592.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $224.98 / $224.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.36 / $815.60 / $1,156.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $224.98 / $555.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $592.47 / $886.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.59 / $384.59 / $737.13