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Alaska rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $870.96 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,754.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,096.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $588.84 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $537.03 / $2,089.30