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Alaska rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,824.75 / $24,824.75 / $24,824.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $18,997.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $8,350.18 / $8,350.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,871.24 / $26,931.96 / $42,524.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $8,350.18 / $16,200.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $18,997.30 / $33,147.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,143.22 / $14,143.22 / $27,107.83