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Alaska rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.28 / $813.28 / $813.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $456.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $470.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.24 / $235.24 / $235.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.89 / $882.31 / $1,393.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.24 / $235.24 / $456.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $855.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.89 / $463.35 / $888.09