go back

Alaska rates for HCPCS L5920

Addition Endoskeletal System Above Knee Or Hip Disarticulation Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.40 / $525.40 / $525.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $424.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.11 / $205.11 / $205.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $605.00 / $900.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.11 / $205.11 / $397.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $703.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.33 / $299.33 / $573.72