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Alaska rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.46 / $1,145.46 / $1,145.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $901.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.44 / $1,242.69 / $1,962.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $875.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $901.55 / $1,287.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.23 / $652.59 / $1,250.80