go back

Alaska rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.84 / $124.84 / $124.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $105.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $49.45 / $49.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $145.86 / $213.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $49.45 / $99.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $167.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.90 / $71.12 / $136.32