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Alaska rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,357.18 / $3,357.18 / $3,357.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,784.15 / $1,784.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,784.15 / $1,837.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $919.62 / $919.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,419.87 / $3,642.16 / $5,750.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $919.62 / $1,784.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,837.67 / $3,529.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.99 / $1,912.66 / $3,665.94