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Alaska rates for HCPCS L6110

Below elbow, molded socket (Muenster or Northwestern suspension types)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.07 / $2,988.07 / $2,988.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.17 / $1,787.17 / $1,787.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.63 / $1,304.63 / $1,304.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.12 / $789.12 / $789.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.64 / $3,241.71 / $5,118.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.12 / $789.12 / $1,787.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.63 / $2,123.19 / $3,354.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.37 / $1,702.37 / $3,262.88