go back

Alaska rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,741.14 / $2,741.14 / $2,741.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,424.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $1,040.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $734.33 / $734.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.53 / $2,973.82 / $4,695.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $734.33 / $1,424.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,932.63 / $3,053.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.69 / $1,561.69 / $2,993.23