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Alaska rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $417 · 10th–90th $219–$1,0720%20%40%10th90th$417Professionalmedian $513 · 10th–90th $363–$1,5140%10%10th90th$513$100.0$200.0$500.0$1.0K$2.0K

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
$346.74 / $489.78 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $660.69 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,071.52 / $2,290.87
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,071.52 / $1,122.02
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $954.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $416.87 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $549.54 / $1,621.81