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Alaska rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $28.98 / $28.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $16.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.62 / $17.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $31.45 / $49.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $32.32 / $32.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $16.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $17.73 / $30.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $16.51 / $31.64