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Alaska rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,372.63 / $5,372.63 / $5,372.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $3,840.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.02 / $3,762.02 / $3,762.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,531.77 / $5,828.69 / $9,203.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,098.76 / $5,098.76 / $5,991.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,854.60 / $5,991.66 / $12,355.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,762.02 / $3,762.02 / $3,784.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.42 / $4,874.10 / $7,189.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.91 / $3,060.91 / $5,866.75