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Alaska rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $589.23 / $589.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $313.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $136.24 / $136.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.98 / $639.25 / $1,009.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $136.24 / $293.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $313.17 / $536.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.22 / $335.70 / $643.42