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Alaska rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.33 / $398.33 / $398.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $246.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $119.39 / $119.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.15 / $469.52 / $682.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $119.39 / $239.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $246.97 / $470.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.94 / $226.94 / $894.53