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Alaska rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.27 / $3,870.27 / $3,870.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,667.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $1,289.96 / $1,289.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,157.17 / $4,198.79 / $6,629.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $1,289.96 / $2,502.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,667.97 / $4,314.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,204.98 / $2,204.98 / $4,226.20