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Alaska rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $28.27 / $28.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.87 / $30.68 / $48.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $31.53 / $31.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $16.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $17.86 / $29.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $16.11 / $30.88