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Alaska rates for HCPCS L5810

Addition, endoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.67 / $906.67 / $906.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $483.85 / $483.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $483.85 / $515.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $188.20 / $188.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.92 / $983.63 / $1,553.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $188.20 / $483.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $494.91 / $741.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.44 / $516.54 / $990.06