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Alaska rates for HCPCS L5828

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,979.55 / $3,979.55 / $3,979.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $1,546.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $1,091.64 / $1,091.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,219.94 / $4,317.35 / $6,816.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $1,091.64 / $2,117.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $2,513.78 / $4,178.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.48 / $2,267.23 / $4,345.54