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Alaska rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $47.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $66.07 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $234.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $72.44 / $75.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $74.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $56.23 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $147.91