go back

Alaska rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $282 · 10th–90th $129–$4900%20%40%10th90th$282Professionalmedian $295 · 10th–90th $200–$6610%10%20%10th90th$295$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $288.40 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $371.54 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $467.74 / $1,412.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $467.74 / $489.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $467.74 / $489.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $501.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $309.03 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $954.99