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Alaska rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.08 / $1,104.08 / $1,104.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.31 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $663.31 / $707.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $244.96 / $244.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.82 / $1,197.81 / $1,891.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $244.96 / $663.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $680.63 / $965.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.40 / $629.03 / $1,205.64