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Alaska rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,855.54 / $6,855.54 / $6,855.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $2,734.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $1,679.50 / $1,679.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,058.25 / $7,437.46 / $11,743.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $1,679.50 / $3,745.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $4,729.63 / $7,473.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,783.89 / $3,905.75 / $7,486.03