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Alaska rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $25.19 / $25.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $15.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $27.32 / $43.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $14.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.39 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $14.35 / $27.51