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Alaska rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.06 / $2,866.06 / $2,866.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $1,637.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,637.27 / $1,686.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.62 / $660.62 / $660.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.57 / $3,109.34 / $4,909.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.62 / $660.62 / $1,637.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,637.27 / $2,403.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.91 / $1,632.86 / $4,949.96