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Alaska rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.35 / $942.35 / $942.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $455.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $220.22 / $220.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.71 / $1,022.33 / $1,614.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $220.22 / $427.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $455.47 / $867.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.12 / $536.87 / $1,029.01