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Alaska rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $78.34 / $78.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $54.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $85.00 / $134.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.37 / $87.37 / $87.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $50.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $54.00 / $87.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.24 / $44.63 / $85.55