go back

Alaska rates for HCPCS L5974

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.52 / $425.52 / $425.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $186.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $90.08 / $90.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.28 / $461.64 / $728.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $90.08 / $174.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $354.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.42 / $242.42 / $464.65