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Alaska rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.03 / $66.03 / $66.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $53.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $25.07 / $25.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.64 / $88.80 / $113.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $73.64 / $73.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $25.07 / $50.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $88.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $37.61 / $72.11