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Alaska rates for HCPCS L5845

Addition Endoskeletal Knee-Shin System Stance Flexion Feature Adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.34 / $1,849.34 / $1,849.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $1,207.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $1,287.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.55 / $622.55 / $622.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.31 / $2,006.31 / $3,167.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.55 / $622.55 / $1,207.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,287.59 / $2,082.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.60 / $1,053.60 / $2,019.41