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Alaska rates for HCPCS L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.01 / $2,222.01 / $2,222.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $1,964.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.03 / $1,964.43 / $2,094.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.99 / $743.99 / $743.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.63 / $2,666.47 / $3,806.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.99 / $743.99 / $1,964.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.03 / $2,081.69 / $2,890.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.43 / $1,265.93 / $2,426.36