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Alaska rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,402.77 / $3,402.77 / $3,402.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $2,188.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $896.99 / $896.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.02 / $3,691.61 / $5,828.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $896.99 / $2,125.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,188.77 / $3,534.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.64 / $1,938.64 / $3,715.72