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Alaska rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,424.18 / $3,424.18 / $3,424.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $2,533.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $1,113.38 / $1,113.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,714.84 / $3,734.99 / $5,865.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $1,113.38 / $2,160.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,533.03 / $3,920.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.97 / $1,950.84 / $3,739.11