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Alaska rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,896.21 / $2,896.21 / $2,896.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,824.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $882.05 / $882.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,142.05 / $3,436.94 / $4,961.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $882.05 / $1,711.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,824.31 / $3,443.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.55 / $1,650.04 / $3,162.57