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Alaska rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.62 / $65.62 / $65.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $47.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $19.75 / $19.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.19 / $72.68 / $112.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.18 / $73.18 / $73.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $19.75 / $44.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $47.91 / $72.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $37.39 / $71.67