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Alaska rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.76 / $1,013.76 / $1,013.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $503.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $218.52 / $218.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.70 / $1,099.81 / $1,736.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $218.52 / $472.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $503.49 / $861.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.54 / $577.55 / $1,106.99