go back

Alaska rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,994.32 / $3,994.32 / $3,994.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $2,799.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $1,191.82 / $1,191.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,007.30 / $4,333.37 / $6,842.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $1,191.82 / $2,717.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,799.14 / $4,696.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.65 / $2,275.65 / $4,361.66