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Alaska rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.29 / $294.29 / $294.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $227.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $98.71 / $98.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $319.27 / $504.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $98.71 / $220.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $227.13 / $326.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.43 / $167.66 / $321.36