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Alaska rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,507.63 / $3,507.63 / $3,507.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $1,666.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $1,176.59 / $1,176.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,767.69 / $3,805.37 / $6,008.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $1,176.59 / $2,282.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $2,941.41 / $4,647.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.38 / $1,998.38 / $3,830.22