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Alaska rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,778.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,344.23 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,715.35 / $9,120.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,801.89 / $3,890.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $3,890.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $3,090.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,659.59 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,905.46 / $5,495.41