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Alaska rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.19 / $1,001.19 / $1,001.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $517.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $241.75 / $241.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.93 / $1,086.17 / $1,715.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $241.75 / $485.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $485.57 / $889.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.61 / $570.40 / $1,093.27