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Alaska rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.84 / $114.84 / $114.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $48.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $124.59 / $196.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $45.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $48.83 / $93.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $65.43 / $125.41