go back

Alaska rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.44 / $2,829.44 / $2,829.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $1,408.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,408.48 / $1,450.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.83 / $592.83 / $592.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.61 / $3,069.61 / $4,846.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.83 / $592.83 / $1,408.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,408.48 / $2,157.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.70 / $1,612.00 / $3,089.67