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Alaska rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.31 / $842.31 / $842.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $482.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $197.93 / $197.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.82 / $913.80 / $1,442.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $197.93 / $452.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $720.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.91 / $479.88 / $919.77