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Alaska rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,481.49 / $4,481.49 / $4,481.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,479.82 / $2,554.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $1,000.71 / $1,000.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,935.64 / $4,861.89 / $7,676.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $1,000.71 / $2,479.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,554.21 / $3,943.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.54 / $2,553.21 / $4,893.64