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Alaska rates for HCPCS L6360

Interscapular Thoracic Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,991.20 / $5,991.20 / $5,991.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $3,396.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $1,231.29 / $1,231.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,842.43 / $6,499.76 / $10,262.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $1,231.29 / $3,297.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $4,851.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.82 / $3,413.32 / $6,542.20