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Alaska rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.12 / $1,881.12 / $1,881.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,067.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.58 / $442.58 / $442.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.46 / $2,040.80 / $3,222.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.58 / $442.58 / $1,036.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,610.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.08 / $1,071.72 / $3,316.24