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Alaska rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,023.29 / $1,778.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $3,090.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,819.70 / $1,905.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $660.69 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $2,454.71