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Alaska rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.19 / $2,061.19 / $2,061.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,435.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $693.87 / $693.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.17 / $2,236.17 / $3,530.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $693.87 / $1,346.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,435.11 / $2,320.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.67 / $1,174.31 / $2,250.77