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Alaska rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.05 / $1,326.05 / $1,326.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $612.94 / $653.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $281.93 / $281.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.59 / $1,438.61 / $2,271.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $281.93 / $612.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $649.22 / $1,025.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.08 / $657.98 / $657.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.91 / $755.48 / $1,448.01