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Alaska rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.42 / $106.42 / $106.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $59.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $59.87 / $63.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $115.45 / $182.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $59.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $63.23 / $99.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $60.63 / $116.21