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Alaska rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.66 / $4,466.66 / $4,466.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $3,235.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.07 / $1,173.07 / $1,173.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,398.03 / $4,845.80 / $7,651.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.07 / $1,173.07 / $3,141.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,235.77 / $4,622.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.35 / $2,544.76 / $4,877.45