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Alaska rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.07 / $1,612.07 / $1,612.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $1,458.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.29 / $658.29 / $658.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.91 / $1,941.70 / $2,761.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.29 / $658.29 / $1,367.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $2,151.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,536.34 / $1,536.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.78 / $918.44 / $1,760.34