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Alaska rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.53 / $927.53 / $927.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $405.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $192.28 / $192.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.23 / $1,006.26 / $1,588.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $192.28 / $380.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $757.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.94 / $528.42 / $1,012.83