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Alaska rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,660.83 / $4,660.83 / $4,660.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $2,964.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $1,433.28 / $1,433.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,622.50 / $5,056.46 / $7,983.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $1,433.28 / $2,780.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,964.38 / $5,647.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.38 / $2,655.38 / $5,089.47