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Alaska rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Facilitymedian $2,570 · 10th–90th $1,318–$5,4950%20%40%10th90th$2,570Professionalmedian $3,236 · 10th–90th $2,188–$7,0790%10%10th90th$3,236$100.0$500.0$2.0K$10.0K

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
$2,187.76 / $3,090.30 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $4,265.80 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $16,218.10
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,011.87 / $5,248.07
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,570.40 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,570.40 / $9,772.37