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Alaska rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.64 / $502.64 / $502.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $340.42 / $350.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $161.69 / $161.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.93 / $545.30 / $861.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $161.69 / $340.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $350.63 / $579.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.43 / $286.37 / $548.87