go back

Alaska rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Facilitymedian $174 · 10th–90th $89–$4680%20%40%10th90th$174Professionalmedian $224 · 10th–90th $141–$6760%10%20%10th90th$224$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $275.42 / $467.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $467.74 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $501.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $398.11
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $173.78 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $676.08