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Alaska rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.85 / $188.85 / $188.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $187.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $67.15 / $67.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.88 / $243.68 / $323.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $67.15 / $175.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $187.18 / $246.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.23 / $107.59 / $206.22