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Alaska rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.50 / $1,109.50 / $1,109.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $724.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $724.63 / $772.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $373.50 / $373.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.69 / $1,203.69 / $1,900.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.50 / $373.50 / $724.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.98 / $772.49 / $1,249.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.11 / $632.11 / $1,211.54