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Alaska rates for HCPCS L6611

Addition to upper extremity prosthesis, external powered, additional switch, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.83 / $424.83 / $424.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.50 / $321.50 / $321.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $234.70 / $234.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $143.01 / $143.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.89 / $460.89 / $727.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.81 / $424.81 / $473.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.86 / $473.78 / $977.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $143.01 / $321.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.85 / $403.39 / $977.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.03 / $242.03 / $463.90