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Alaska rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.85 / $1,546.85 / $1,546.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $921.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.31 / $461.31 / $461.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.82 / $1,678.16 / $2,649.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.31 / $461.31 / $895.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $921.85 / $1,671.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.27 / $881.27 / $1,689.11