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Alaska rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,508.68 / $3,508.68 / $3,508.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,550.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $1,023.47 / $1,023.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,696.37 / $3,806.51 / $6,010.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $1,023.47 / $2,476.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,550.37 / $3,703.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.98 / $1,998.98 / $3,831.37