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Alaska rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Facilitymedian $269 · 10th–90th $141–$5890%20%40%10th90th$269Professionalmedian $331 · 10th–90th $245–$8320%10%10th90th$331$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
$208.93 / $309.03 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $426.58 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $588.84 / $1,548.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $616.60
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $588.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $269.15 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $1,047.13