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Alaska rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.31 / $974.31 / $974.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $991.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.67 / $372.67 / $372.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.01 / $1,168.25 / $1,668.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.67 / $372.67 / $930.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $1,303.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.77 / $555.08 / $1,063.91