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Alaska rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.12 / $965.12 / $965.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $420.01 / $447.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.49 / $216.49 / $216.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.82 / $1,047.04 / $1,653.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.49 / $216.49 / $420.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $447.75 / $853.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.70 / $549.85 / $1,053.88