go back

Alaska rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $812.83 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $3,019.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $933.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $588.84 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $2,238.72