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Alaska rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.84 / $1,636.84 / $1,636.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.21 / $812.21 / $812.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.91 / $812.21 / $836.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.23 / $371.23 / $371.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.99 / $1,775.78 / $2,803.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.23 / $371.23 / $812.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.91 / $812.21 / $1,350.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.45 / $932.54 / $1,787.38