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Alaska rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.87 / $279.87 / $279.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $184.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $197.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.51 / $78.51 / $78.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.69 / $303.63 / $479.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.51 / $78.51 / $184.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $197.12 / $291.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $159.44 / $305.61