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Alaska rates for HCPCS L6200

Elbow disarticulation, molded socket, outside locking hinge, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,983.34 / $3,983.34 / $3,983.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $2,694.60 / $2,694.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $1,967.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $1,054.58 / $1,054.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,039.03 / $4,321.46 / $6,823.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $1,054.58 / $2,694.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $3,153.24 / $4,982.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.59 / $2,269.40 / $4,349.68