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Alaska rates for HCPCS L6500

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,631.18 / $3,631.18 / $3,631.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,970.85 / $3,167.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $1,192.80 / $1,192.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,939.40 / $4,053.11 / $6,220.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $1,192.80 / $2,970.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $3,164.25 / $4,618.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.21 / $2,068.76 / $3,965.12