go back

Alaska rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.12 / $4,243.12 / $4,243.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $2,561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $2,730.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.06 / $1,038.06 / $1,038.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,766.67 / $4,603.29 / $7,268.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.06 / $1,038.06 / $2,561.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,730.51 / $4,090.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.96 / $2,417.40 / $4,633.35