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Alaska rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,131.97 / $4,131.97 / $4,131.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,587.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $1,310.23 / $1,310.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,482.70 / $4,602.18 / $7,077.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $1,310.23 / $3,364.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,587.23 / $4,610.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.62 / $2,354.07 / $4,511.97