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Alaska rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.11 / $2,031.11 / $2,031.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $1,349.13 / $1,349.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $984.86 / $984.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.36 / $2,203.52 / $3,479.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $1,349.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.86 / $1,429.72 / $2,259.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.06 / $1,157.17 / $2,217.90