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Alaska rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.98 / $2,359.98 / $2,359.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $1,839.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $794.47 / $794.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.33 / $2,560.33 / $4,042.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $794.47 / $1,786.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,839.83 / $3,158.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.55 / $1,344.55 / $2,577.05